[Effects of cholecystectomy on functional signs associated with cholelithiasis].
Two hundred hospital patients with gallstones who had been cholecystectomized on account of typical biliary colics were investigated for migraine, headache, malaise, vertigo, flatulence, diarrhoea or constipation 2, 6, 12 and 24 months after the operation. The study showed that these symptoms are common in patients with biliary lithiasis, particularly women, and that their frequency increases with the duration of the disease. The beneficial effects of cholecystectomy are uncertain and appear to decrease with time ; only 30% of the patients seemed to improve after surgery. It is concluded that these symptoms betray real functional disorders, that cholecystectomy is not the appropriate treatment for them and that any improvement observed may be credited to the placebo effects of the operation.
Rousset
J F
JF
Escat
J
J
Fourtanier
G
G
Prevost
F
F
Roos
S
S
D000328:Adult; D000367:Age Factors; D000368:Aged; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery*; D003248:Constipation / Q000150:complications; D003967:Diarrhea / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications / Q000628:therapy*; D011446:Prospective Studies; D014717:Vertigo / Q000150:complications / Q000628:therapy*
Effets de la cholécystectomie sur les signes fonctionnels associés à la lithiase vésiculaire.