Abstract: Introduction: Gallstones (cholelithiasis) are solid accumulations of crystals in the gallbladder that occur due to cholesterol supersaturation, excessive bilirubin production, or gallbladder contractility disorders. The pathogenesis is suspected to be multifactorial with obesity, age, and gender as non-modifiable factors. Although the prevalence of cholelithiasis in Asis is recorded between 3-10%, publications regarding definitive figures in Indonesia or Central Jawa are still rare. With the obesity trend occurring in Indonesia and the relatively high prevalence of cholelithiasis case in Surakarta, it is possible that gallstone complications occur due to excessive BMI. The purpose of this study is to assess the relationship between body mass index and the occurrence of gallstones at Dr. Moewardi Regional Hospital, Surakarta.
Methods: Observational analytic study with a cross-sectional approach was used in this study. The sample used consists of secondary data in the form of medical records of patients aged over 18 years at Dr. Moewardi Regional Hospital from January to April 2023, who have either excess or normal BMI. A total of 86 research subjects were obtained (43 patients with gallstones and 43 patients without gallstones) from the Surgery and Internal Medicine Departments, as well as Post-Cholecystectomy Inpatient Clinics, which were then analyzed using the Chi-Square test.
Results: The result of the Chi-Square test on the relationship between body mass index and the occurrence of gallstones showed a p-value of 0.017 (p<0.05).
Conclusion: There is a significant relationship between body mass index and the occurrence of gallstones at Dr. Moewardi Regional Hospital, Surakarta.
