Changes in the Occurrence of Abdominal Complaints in Surgically Treated Patients due to Cholecystolithiasis
Journal Title: JURNALUL DE CHIRURGIE [JOURNAL of SURGERY] - Year 2017, Vol 13, Issue 1
Abstract
Introduction: The post cholecystectomy syndrome is defined as the maintenance or the occurrence of digestive tract symptoms after cholecystectomy due to extra hepatic biliary duct disorders. The introduction of a laparoscopic approach has revolutionized the procedure in the treatment of cholecystolithiasis. Laparoscopic cholecystectomy is less invasive for patients as compared to the classic surgical procedure. Aim: Determination of the frequency and the intensity of abdominal symptoms occurring after laparoscopic surgery and classic cholecystectomy related to the post cholecystectomy syndrome. Material and methods: The study group consisted of 105 patients of the Clinical Department of Surgery of the Regional Specialist Hospital in Tychy, Poland. Patients were divided into two groups: patients who underwent laparoscopic (n=83) or classic (n=22) cholecystectomy. The assessments were performed preoperatively, 1 month and 6 months postoperatively, using the “Gastric Symptom Questionnaire”. Results: The results were compared using statistical methods. Results: The symptoms of the syndrome were observed in 32 (30.5%) patients from the study group. Symptoms related to the post cholecystectomy syndrome included abdominal pain, flatulence, nausea, vomiting, movement difficulties, loss of appetite or diarrhea. These symptoms occurred more frequently after classic cholecystectomy as compared to the laparoscopic approach, 1 month and 6 months after cholecystectomy. Conclusions: The post cholecystectomy syndrome may occur in 1/3 of patients after cholecystectomy. The symptoms occur less frequently in laparoscopically treated patients. In a large number of patients the syndrome may be related to the treatment method.
Authors and Affiliations
Brigida Sedlak, Maciej Zaniewski, Zbigniew Lorenc, Wiktor Jan Krawczyk, Marzena Kowalska, Urszula Skotnicka- Graca, Joanna Kitlas- Polasik
Keywords
Related Articles
- EP ID EP288488
- DOI 10.7438/1584-9341-13-1-7
- Views 110
- Downloads 0
Presepsin: Early Biomarker in Diagnosis of Sepsis in Emergency Department
Objective: Sepsis is a common syndrome with devastating implications for health care systems worldwide. Biomarkers may play an important role in highlighting the presence, absence or severity of sepsis. Materials and me...
Variations in the Number of Circulating Tumor Cells During the Surgical Sequence for Locally Advanced Rectal Cancer
Aim: This study aims to assess the variation of the levels of circulating tumor cells during surgical manipulation, by in vivo evaluation at three key points during treatment. Materials and methods: This was a pilot stud...
Volvulus of Gall Bladder-Case Report and Review of Literature
Gall bladder volvulus or twisting is a rare condition and occurs due to rotation of gall bladder. Preoperative diagnosis is exception and usually misdiagnosed as cholecystitis before surgery. It is potentially fatal cond...
Updates in Pelviperineal Reconstruction Options After Abdominoperineal Resection
Abdominoperineal resection may be the only curative solution for invasive or recurrent malignant tumors in the pelvic-perineal region. Recent studies have established that immediate pelvic-perineal reconstruction followi...
Benefits of Additive Manufacturing Medical Model in Orbital Floor Reconstruction Surgery: A Case Study
Additive Manufacturing (AM) is one of the latest manufacturing processes. AM technology provides patient specific customized physical model, which is almost not achievable by any other technique. AM medical models are be...