A Cohort Follow-Up Study to Determine the Occurrence of Diarrhea in Post Laparoscopic Cholecystectomy Patients
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Date
2023-04
Journal Title
Journal ISSN
Volume Title
Publisher
Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Introduction: Laparoscopic cholecystectomy (LC) is the standard treatment for symptomatic gallstones. Despite notable benefits of cholecystectomy in treating gallstone related disease, the postoperative course may be affected by persistent or even new symptoms, including new onset diarrhea. Data on the effect of cholecystectomy on bowel function is sparse. The aim of this study is to determine the incidence of postcholecystectomy diarrhea (PCD) and to identify management patterns. Methods: In 253 consecutive patients who underwent laparoscopic cholecystectomy, data was obtained from clinicalrecords and telephonic survey 3 months postoperatively using standardized questionnaires. Out of 253 subjects 248 patients were telephonicall responsive and 5 patients were lost to follow up. Results: Among 248 patients 25 patients had diarrhea (12 mild, 10 moderate, 3 severe) and it was more common in men. The prevalence of diarrhea in post laparoscopic cholecystectomy patients is 10%. Twelve patients got relieved from constipationafter LC. Treatment of diarrhea was empirical and included antimotility agents plus probiotics, antimicrobial agents plus probiotics. Conclusion: Investigation for bile acid diarrhea was proposed for severe symptoms. The relationship between cholecystectomy and PCD is an undeniable fact with 10% ofpatients reporting trouble-some new onset diarrhea.
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Keywords
Laparoscopic Cholecystectomy, Bile Acid Diarrhea, Gallstones
Citation
B Ravi Shankar, T.L.V.D. Prasad Babu, V. Monisri, V SaiSujay, E. Madhusudhan, B. Vamsi Krishna . A Cohort Follow-Up Study to Determine the Occurrence of Diarrhea in Post Laparoscopic Cholecystectomy Patients. International Journal of Medical Research Professionals. 2023 Mar; 9(2): 1-5