Author(s): Fenster LF, Lonborg R, Thirlby RC, Traverso LW
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Abstract BACKGROUND: The increasing application of cholecystectomy has increased the need to assess the effects of cholecystectomy on presenting symptoms. PATIENTS AND METHODS: Three surgeon-derived and two patient-derived data forms were collected for each patient in a series of 225 laparoscopic cholecystectomies. RESULTS: Eighty-two percent of patients had documented gallstones preoperatively, 91\% had biliary pain, and 77\% had both biliary pain and documented gallstones prior to surgery. Fifteen percent of patients were believed to have acalculous cholecystitis. Eighty-two percent also had bothersome nonpain symptoms (gassiness, bloating, indigestion, fatty-food intolerance, and nausea). The cure rate for biliary colic was 82\% if stones were documented preoperatively, and 52\% when they were not (P = 0.002). Atypical pain was cured 80\% of the time, and nonpain symptoms, 44\% of the time. CONCLUSIONS: Most patients (82\%) with biliary colic and gallstones have complete relief of upper abdominal pain after cholecystectomy. Pain relief in patients felt to have acalculous cholecystitis was only 52\%. Nonpain symptoms were common preoperatively (82\%) and were relieved in 44\% of patients.
This article was published in Am J Surg
and referenced in Pancreatic Disorders & Therapy