Volume : 6, Issue : 7, July - 2017

POST CHOLECYSTECTOMY SYNDROME AFTER LAPAROSCOPIC CHOLECYSTECTOMY- A PROSPECTIVE STUDY

Dr Sulfekar M S, Dr Azeem Mohamed Bashir, Dr Aravind S Ganapath

Abstract :

<p>&nbsp;<span lang="EN-IN" style="font-size: 11.5pt; font-family: &quot;Times New Roman&quot;, serif;">Post cholecystectomy syndrome has been used to signify the heterogeneous group of disorders affecting patients who continue to complain of symptoms after cholecystectomy. It is not really a syndrome and the term is confusing. Today it has become a melting pot of various postoperative syndromes of mostly obscure origin. In about half the cases treated by cholecystectomy, cholecystectomy leaves certain problems of digestive dysfunction (dyspeptic-pain syndrome) unresolved. This study was done to </span><span lang="EN-IN" style="font-size: 12pt; font-family: &quot;Times New Roman&quot;, serif;">study Symptoms of postcholecystectomy syndrome in patients after</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">laparoscopic cholecystectomy and to find the proportion of patients get cured of the pre operative symptoms after surgery.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">Patients admitted in surgical wards of Government Medical College Trivandrum for laparoscopic cholecystectomy fo a period of one year were enrolled into the study. The mean age of the patients was 42.8years. There were 23 females and 9 male<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">giving a ratio 1: 2.5. The most common symptoms preoperatively were abdominal pain, pain related to food intake, nausea, dyspepsia, and vomiting. Symptom of dyspepsia, abdominal bloating and increased flatulence were present in only half the patients. In all, none of the patients suffered from jaundice.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">All the preoperative symptoms were significantly improved after<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">laparoscopic cholecystectomy. 23 patients had complete absence of symptoms<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">postoperatively. The most common symptoms post operatively were pain<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">related to food, abdominal pain, nausea and bloating. There were no new<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">symptoms developed after laparoscopic cholecystectomy.<o:p></o:p></span></p>