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Study of cholelithiasis after gastrectomy.

H Kinoshita1, H Imayama, K Hashino

  • 1Department of Surgery, Kurume University School of Medicine, Japan.

The Kurume Medical Journal
|August 19, 2000
PubMed
Summary

Cholelithiasis (gallstones) frequently occurs after gastrectomy, with pigment stones being most common. Factors like biliary tract infection and cholestasis may contribute to gallstone formation post-surgery.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Hepatology

Background:

  • Cholelithiasis is a known complication following gastrectomy.
  • The incidence and characteristics of gallstones post-gastrectomy require further investigation.

Purpose of the Study:

  • To analyze the incidence, characteristics, and risk factors of cholelithiasis in patients who underwent gastrectomy.

Main Methods:

  • Retrospective study of 52 patients with post-gastrectomy cholelithiasis.
  • Analysis of patient demographics, gastrectomy indications, reconstruction methods, and stone characteristics.
  • Bacterial cultures of bile and correlation with clinical presentation.

Main Results:

  • Pigment stones (63.5%) were the predominant type, often found in the bile duct.

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  • Gallstones were symptomatic in 78.8% of patients, with abdominal pain being the most common symptom.
  • Bile cultures were positive in 68.4%, with Gram-negative bacilli being frequently isolated.

    • Conclusions:

    • Cholelithiasis is a significant complication after gastrectomy, with a high proportion of pigment and bile duct stones.
    • Biliary tract infection, cholestasis, lymph node dissection, and vagotomy are potential contributing factors.
    • Prompt diagnosis and management of symptomatic gallstones are crucial in post-gastrectomy patients.