[Gastrointestinal function following cholecystectomy].
Randomized studies of the physiological and clinical consequences of cholecystectomy for uncomplicated gallbladder stones are very scarce. Bile acid malabsorption is increased postoperatively, probably giving rise to diarrhea in a few sensitive individuals. Preexisting abdominal distension and fat intolerance most often persist postoperatively. In adequately selected patients, abdominal pain may subside in 75% or more. The presence of functional bowel disease should always be considered in patients with uncomplicated gallstones.
Rumessen
Jüri J
JJ
Gastroenterologisk Laboratorium, Medicinsk Afdeling F, Amtssygehuset i Gentofte, DK-2900 Hellerup. juru@gentoftehosp.kbhamt.dk
D015746:Abdominal Pain / Q000209:etiology; D002763:Cholecystectomy / Q000009:adverse effects*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003248:Constipation / Q000209:etiology; D003967:Diarrhea / Q000209:etiology; D004041:Dietary Fats / Q000378:metabolism; D005414:Flatulence / Q000209:etiology; D042882:Gallstones / Q000601:surgery; D005767:Gastrointestinal Diseases / Q000209:etiology*; D006801:Humans; D008286:Malabsorption Syndromes / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis
D004041:Dietary Fats