Biliary dyskinesia: how effective is cholecystectomy?
Publication/Presentation Date
1-1-2012
Abstract
INTRODUCTION: Studies on biliary dyskinesia have been based on short-term surgical follow-up and do not take into consideration that most patients are discharged from surgical follow-up after the first postoperative visit and that for persistent or recurrent symptoms they are frequently seen by primary care providers and subsequently referred to gastroenterologists. We aimed to study this pattern and assess which factors predict patients that will benefit from cholecystectomy.
METHOD: This is a retrospective analysis of medical records of patients who underwent cholecystectomy for biliary dyskinesia from February 2001 to January 2010 with a minimum postoperative follow-up of 6 months.
RESULTS: At initial surgical follow-up, 19 of 141 (13.4%) patients said they had persistent symptoms. However, when subsequent visits were analyzed, 61 of 141 (43.3%) patients with persistent or recurrent symptoms saw their primary care provider. These symptoms were epigastric or right upper quadrant pain in 43 patients or 30% of those undergoing cholecystectomy. The only factor that distinguished patients with and without resolution of symptoms after cholecystectomy was the pathologic finding of inflammation (p = 0.02).
CONCLUSION: Cholecystectomy does not appear to be as effective for biliary dyskinesia when long-term follow-up is evaluated.
Volume
16
Issue
1
First Page
135
Last Page
140
ISSN
1873-4626
Published In/Presented At
Singhal, V., Szeto, P., Norman, H., Walsh, N., Cagir, B., & VanderMeer, T. J. (2012). Biliary dyskinesia: how effective is cholecystectomy?. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 16(1), 135–141. https://doi.org/10.1007/s11605-011-1742-0
Disciplines
Medicine and Health Sciences
PubMedID
22042565
Department(s)
Department of Surgery
Document Type
Article