Cholecystectomy and Clinical Presentations of Gastroparesis

Parkman, Henry P.; Yates, Katherine P.; Hasler, William L.; Nguyen, Linda Anh B.; Pasricha, Pankaj J.; Snape, William J.; Farrugia, Gianrico; Koch, Kenneth L.; Calles, Jorge; Abell, Thomas L.; Sarosiek, Irene; McCallum, Richard W.; Lee, Linda; Tonascia, James; Hamilton, Frank A.

doi:10.1007/s10620-013-2596-y

Cited by 26 publications

(16 citation statements)

References 36 publications

(44 reference statements)

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“…6,7 Many of the patients had a previous cholecystectomy prior to the diagnosis of gastroparesis. 8 Cholecystectomy was more common in patients with type 2 diabetes and idiopathic gastroparesis than in patients with type 1 diabetes. Patients who had a cholecystectomy had a higher prevalence of comorbidities including chronic fatigue, fibromyalgia, depression, and anxiety.…”

mentioning

confidence: 99%

Clinical Presentation and Pathophysiology of Gastroparesis

Nguyen¹,

Snape²

2015

Gastroenterology Clinics of North America

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mentioning

confidence: 99%

Clinical Presentation and Pathophysiology of Gastroparesis

Nguyen¹,

Snape²

2015

Gastroenterology Clinics of North America

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“…This description is reminiscent of contemporary descriptions of somatoform illnesses, which more commonly seen in patients with ''post-cholecystectomy syndrome'' [108]. Pain is one of the important clinical manifestations and may drive diagnostic testing, leading to the identification of gallstones which may indeed be coincidental rather than causal in such situations [113,114]. Consistent with such a role of somatoform illnesses, emotional factors, most notably trait anxiety, have been linked to worse outcomes in prospective studies [6,115] and contribute to the development of the ''post-cholecystectomy syndrome'' [116].…”

Section: Post-cholecystectomy Syndromementioning

confidence: 86%

Black Bile of Melancholy or Gallstones of Biliary Colics: Historical Perspectives on Cholelithiasis

Bielefeldt

2014

Dig Dis Sci

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Barely 130 years after its first description, cholecystectomies are among the most commonly performed surgeries in the USA. The success of this operation with subsequent technical improvements, such as laparoscopic approaches, caused a paradigm shift in the management of gallstone disease. However, symptoms persist in 10-40 % of successfully operated patients. Reviewing monographs, textbooks, and articles published during the last 300 years, several important factors emerge as likely contributors to limited or poor treatment responses. Early on, clinicians recognized that cholelithiasis is quite common and thus often an incidental finding, especially if patients present with vague or atypical symptoms. Consistent with these observations, patients with such atypical symptoms are less likely to benefit from cholecystectomy. Similarly, lasting improvements are more reliably seen in patients with symptoms of presumed biliary origin and documented gallstones compared to individuals without stones, an important point in view of increasing rates of surgery for biliary dyskinesia. While cholelithiasis can cause serious complications, the overall incidence of clinically relevant problems is so low that prophylactic cholecystectomy cannot be justified. This conclusion corresponds to epidemiologic data showing that the rise in elective cholecystectomies decreased hospitalizations due to gallstone disease, but was associated with a higher volume of postoperative complications, ultimately resulting in stable combined mortality due to gallstone disease and its treatment. These trends highlight the tremendous gains in managing gallstone disease, while at the same time reminding us that the tightening rather than expanding indications for cholecystectomy may improve outcomes.

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“…These data suggest that prior cholecystectomy is associated with selected manifestations of gastroparesis. 14 In conclusion, it is important to note that cholelithiasis is responsible for 85% of biliary diseases. 15 Cholecystectomy is the most common operation performed in the biliary system, which may or may not be performed with evaluation of the common bile duct or UGI system.…”

Section: Discussionmentioning

confidence: 98%

Should We Perform Routine Upper Gastrointestinal Endoscopy Before Cholecystectomy?

Günay

Abuoğlu

2017

International Surgery

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In some patients, there is not any symptomatic relief after cholecystectomy due to the overlap of the symptoms of biliary and gastroduodenal pathologies known as postcholecystectomy syndrome. The aim of this study was to assess the effectiveness of upper gastrointestinal (UGI) endoscopy in reducing the possibility of postcholecystectomy syndrome. This retrospective study was conducted in 194 cases. In patients sampled for histopathologic examination, screening for Helicobacter pylori and intestinal metaplasia was carried out with Giemsa stain and PAS-Alcian stain. Patients who did not undergo UGI endoscopy before operation were designated as Group A (n ¼ 100) and those who underwent routine UGI endoscopy before operation were called Group B (n ¼ 94). Symptomatic relief after cholecystectomy and endoscopic findings were evaluated. Thirty-one of the 39 patients diagnosed with H. pylori, underwent eradication treatment. Seven of the 31 patients undergoing H. pylori eradication during the preoperative period had ongoing symptoms at the postoperative period. On the other hand, only 2 of 8 patients who did not undergo H. pylori eradication during the preoperative period had unremitting symptoms during the postoperative period. Only three of 100 patients who did not receive a UGI endoscopy during the preoperative period had unremitting symptoms during the postoperative period. The main outcome of the study is to evaluate the necessity of performing routine UGI endoscopy before cholecystectomy. Our results show that it is not necessary, because if you take biliary colic as the one and only symptom of indication for cholecystectomy, the ratio of postcholecystectomy syndrome is 3% to 5% and the reason is 50% organic.

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Cholecystectomy and Clinical Presentations of Gastroparesis

Cited by 26 publications

References 36 publications

Clinical Presentation and Pathophysiology of Gastroparesis

Clinical Presentation and Pathophysiology of Gastroparesis

Black Bile of Melancholy or Gallstones of Biliary Colics: Historical Perspectives on Cholelithiasis

Should We Perform Routine Upper Gastrointestinal Endoscopy Before Cholecystectomy?

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