J Neurogastroenterol Motil.  2014 Apr;20(2):253-260.

Fate of Dyspeptic or Colonic Symptoms After Laparoscopic Cholecystectomy

Affiliations
  • 1Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Chungcheongbuk-do, Korea. smpark@chungbuk.ac.kr
  • 2Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Chungcheongbuk-do, Korea.

Abstract

BACKGROUND/AIMS
Gallbladder diseases can give rise to dyspeptic or colonic symptoms in addition to biliary pain. Although most biliary pain shows improvement after cholecystectomy, the fates of dyspeptic or colonic symptoms still remain controversial. This study assessed whether nonspecific gastrointestinal symptoms improved after laparoscopic cholecystectomy (LC) and identified the characteristics of patients who experienced continuing or exacerbated symptoms following surgery.
METHODS
Sixty-five patients who underwent LC for uncomplicated gallbladder stones or gallbladder polyps were enrolled. The patients were surveyed on their dyspeptic or colonic symptoms before surgery and again at 3 and 6 months after surgery. Patients' mental sanity was also assessed using a psychological symptom score with the Symptom Checklist-90-Revised questionnaire.
RESULTS
Forty-four (67.7%) patients showed one or more dyspeptic or colonic symptoms before surgery. Among these, 31 (47.7%) and 36 (55.4%) patients showed improvement at 3 and 6 months after surgery, respectively. However, 18.5% of patients showed continuing or exacerbated symptoms at 6 months after surgery. These patients did not differ with respect to gallstone or gallbladder polyps, but differed in frequency of gastritis. These patients reported lower postoperative satisfaction. Patients with abdominal symptoms showed higher psychological symptom scores than others. However, poor mental sanity was not related to the symptom exacerbation.
CONCLUSIONS
Elective LC improves dyspeptic or colonic symptoms. Approximately 19% of patients reported continuing or exacerbated symptoms following LC. Detailed history-taking regarding gastritis before surgery can be helpful in predicting patients' outcome after LC.

Keyword

Brief Psychiatric Rating Scale; Cholecystectomy, laparoscopic; Gastritis; Postcholecystectomy syndrome

MeSH Terms

Brief Psychiatric Rating Scale
Cholecystectomy
Cholecystectomy, Laparoscopic*
Colon*
Gallbladder
Gallbladder Diseases
Gallstones
Gastritis
Humans
Polyps
Postcholecystectomy Syndrome
Surveys and Questionnaires
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