Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease

Shin, Yong-Ju; Choi, Dongho; Lee, Kyeong Geun; Choi, Ho Soon; Park, Yongsoon

doi:10.3904/kjim.2016.223

Cited by 18 publications

(14 citation statements)

References 36 publications

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“…The same conclusion was obtained by [1] who concluded that a low-fat diet does not seem to have an influence on the improvement of symptoms after cholecystectomy [1]. In [4] other results were obtained which concluded that postchol-ecystectomy symptoms were positively associated with intake of cholesterol and negatively associated with intake of vegetables suggesting that diet was plays a role in postcholecystemic symptoms. Patients with gallstones are often affected by alimentary disorders contributing to the onset of gallstones disease.…”

Section: Discussionsupporting

confidence: 72%

“…In our study there was one patient presented with diarrhea. In normal diet group there was one patient (5%) patient presented with diarrhea and in fat restriction group there was zero patient presented with diarrhea as shown in Figure (4). In our study there was one patient presented with steatorrhea.…”

Section: Follow Up After Dischargesupporting

confidence: 42%

“…Since the introduction of laparoscopic cholecystectomy in the late 80', a dramatic increase in the number of cholecystectomies has been reported by several authors [3]. Some patients who undergo cholecystectomy report postcholecystectomic syndromes, defined as the recurrence of symptoms similar to those experienced before the cholecystectomy, such as abdominal symptoms, dyspepsia and diarrhea [4]. Post cholecystectomy syndrome involves a heterogeneous group of gastrointestinal symptoms after cholecystectomy, including biliary and non-biliary disorders.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparative Study between Fat Restriction and Normal Diet on Post Laparoscopic Cholecystectomy Patients in Early Postoperative Period

2022

Al-Azhar University Journal of Virus Researches and Studies

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Post-cholecystectomy syndrome involves a heterogeneous group of gastrointestinal symptoms after cholecystectomy, including biliary and non-biliary disorders. Certain entities should be ruled out, such as choledocholithiasis, bile duct lesions or bile leaks, which have specific treatments. This work: is to compare between the effect of Fat Restriction and Normal Diet on Post Laparoscopic Cholecystectomy Patients. This study was a prospective study; it was carried out on 40 patients presented with chronic calcular cholecystitis admitted in the general surgery department at AL-Zahraa University Hospital during the period from January 2021 to July 2021 and underwent laparoscopic cholecystectomy, 20 patients were advised to consume fat restricted diet early post-operative, from the first post-operative day and for one month. Other 20 patients were advised to consume normal diet without restrictions early postoperative, from the first day post-operative, for one month. All patients were followed up in our outpatient clinic after discharge and were evaluated for the presence of Abdominal pain; Diarrhea; Steatorrhea; Nausea; Vomiting; Constipation; Distention; Bowel urgency; Fatty dyspepsia and Eructation. We applied this work on 40 patients underwent laparoscopic cholecystectomy and our results revealed that 2 patients presented with abdominal pain one patient (5%) normal diet and one patient (5%) fat restriction; one patient presented with diarrhea one patient (5%) normal diet (zero) fat restriction; one patient presented with steatorrhea one patient (5%) normal diet (zero) fat restriction; one patient presented with nausea one patient (5%) normal diet (zero) fat restriction; (zero) patient presented with vomiting; one patient presented with constipation (zero) normal diet one patient (5%) fat restriction; 3 patients presented with distention 2 patients (10%) normal diet one patient (5%) fat restriction; (zero) patient presented with bowel urgency; (zero) patient presented with fatty dyspepsia and (zero) patient presented with eructation. We found that Low fat diet does not seem to have an advantage over normal diet in post lap. Cholecystectomy patients in early post-operative period.

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Section: Discussionsupporting

confidence: 72%

Section: Follow Up After Dischargesupporting

confidence: 42%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative Study between Fat Restriction and Normal Diet on Post Laparoscopic Cholecystectomy Patients in Early Postoperative Period

2022

Al-Azhar University Journal of Virus Researches and Studies

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“…Fifteen studies reported various other etiologies for incident long-term abdominal symptoms after LC. Changed dietary intake, mainly waiving preoperative dietary restrictions, or physical inactivity may attribute to symptoms after LC [61, 75].…”

Section: Incident Symptomsmentioning

confidence: 99%

Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review

Latenstein

Wennmacker

Jong

et al. 2019

Gastroenterology Research and Practice

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Background. Cholecystectomy does not relieve abdominal symptoms in up to 40% of patients. With 700,000 cholecystectomies performed in the US, annually, about 280,000 patients are left with symptoms, making this a serious problem. We performed a systematic review to determine the different etiologies of long-term postcholecystectomy symptoms with the aim to provide guidance for clinicians treating these patients. Methods. A systematic search of the literature was performed using MEDLINE, EMBASE, and Web of Science. Articles describing at least one possible etiology of long-term symptoms after a laparoscopic cholecystectomy were included in this review. Long-term symptoms were defined as abdominal symptoms that were present at least four weeks after cholecystectomy, either persistent or incident. The etiologies of persistent and incident symptoms after LC and the mechanism or hypothesis behind the etiologies are provided. If available, the prevalence of the discussed etiology is provided. Results. The search strategy identified 3320 articles of which 130 articles were included. Etiologies for persistent symptoms were residual and newly formed gallstones (41 studies, prevalence ranged from 0.2 to 23%), coexistent diseases (64 studies, prevalence 1-65%), and psychological distress (13 studies, no prevalence provided). Etiologies for incident symptoms were surgical complications (21 studies, prevalence 1-3%) and physiological changes (39 studies, prevalence 16-58%). Sphincter of Oddi dysfunction (SOD) was reported as an etiology for both persistent and incident symptoms (21 studies, prevalence 3-40%). Conclusion. Long-term postcholecystectomy symptoms vary amongst patients, arise from different etiologies, and require specific diagnostic and treatment strategies. Most symptoms after cholecystectomy seem to be caused by coexistent diseases and physiological changes due to cholecystectomy. The outcome of this research is summarized in a decision tree to give clinical guidance on the treatment of patients with symptoms after cholecystectomy.

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“…Notably, PCS patients were also more likely to consume bread than rice for breakfast. Dietary habits were analysed by a food frequency questionnaire postcholecystectomy and at 3 months [38].…”

Section: Effectiveness Of Post-cholecystectomy Dietary Modifications and Relation To Gut Microbiomementioning

confidence: 99%

The Association between Gut Microbiome and Post-Cholecystectomy Syndrome and Diarrhoea: A Review

Lim¹,

SKY²

2021

J Gast Hepa Rep

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Cholecystectomy is a common surgical gold-standard treatment for cholelithiasis and its complications. Generally, gallbladder removal has no long-term ramifications, and most patients recover quickly without impairment on daily living activities. Nonetheless, some patients are found to develop postcholecystectomy syndrome (PCS) or diarrhoea (PCD), which can be uncomfortable, inconvenient and impair living quality. There is neither clear aetiology, nor clear solution for PCS/PCD. The significance of gut microbiome in maintaining a healthy gastrointestinal system is well-established. Dysbiosis, an imbalance between commensal and pathogenic bacteria, can lead to multiple GIT disorders like IBS or functional dyspepsia and has a strong association with change in stool consistency [1-3]. Alteration in gut microbiota can easily occur with physical or chemical changes. An invasive procedure like cholecystectomy exposes the intestinal lumen to exogenous bacteria and causes inflammatory changes, while secretory pattern changes of bacteriostatic bile acid disrupt the pH and microbial composition of the intestinal lumen. As such, it is worth understanding GIT microbiota changes post-cholecystectomy. While the concept of gut microbiome changes potentially causing PCS/PCD is not unknown, there is lack of literature reviewing research on what these microbial alterations are and establishing their association with PCS/PCD. In this review, we consolidate previous findings on post-cholecystectomy microbial alterations, effectiveness of diet on PCS/PCD based on gut microbiota and discuss the overall link between gut microbiome and PCS/PCD. This can deepen insight into aetiologies of idiopathic PCS/PCD, provide better management of PCS/PCD-associated comorbidities, and potentially offer a resolution for PCS/PCD through prescription of probiotics and prebiotics.

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Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease

Cited by 18 publications

References 36 publications

Comparative Study between Fat Restriction and Normal Diet on Post Laparoscopic Cholecystectomy Patients in Early Postoperative Period

Comparative Study between Fat Restriction and Normal Diet on Post Laparoscopic Cholecystectomy Patients in Early Postoperative Period

Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review

The Association between Gut Microbiome and Post-Cholecystectomy Syndrome and Diarrhoea: A Review

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