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Cholelithiasis: a serious complication after total gastrectomy.

P Hauters1, A de Neve de Roden, A Pourbaix

  • 1Department of Surgery, Hôpital de Jolimont, Haine-Saint-Paul, Belgium.

The British Journal of Surgery
|September 1, 1988
PubMed
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Gallstones (cholelithiasis) frequently develop after total gastrectomy, with nearly half of patients affected within two years. This complication, potentially linked to vagotomy, can lead to significant biliary symptoms and require intervention.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Biliary System Diseases

Background:

  • Total gastrectomy is a major surgical procedure for gastric conditions.
  • The long-term complications of total gastrectomy require ongoing investigation.
  • Gallstone formation (cholelithiasis) is a potential post-surgical complication.

Purpose of the Study:

  • To determine the incidence of cholelithiasis following total gastrectomy.
  • To identify risk factors and the timeline for gallstone development post-gastrectomy.
  • To assess the clinical significance and morbidity associated with post-gastrectomy cholelithiasis.

Main Methods:

  • Retrospective review of 30 patients who underwent total gastrectomy between 1979 and 1985.
  • Inclusion criteria: absence of gallstones at the time of gastrectomy.

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  • Follow-up duration averaged 40 months to monitor for cholelithiasis development.

    • Main Results:

    • Cholelithiasis developed in 47% (14/30) of patients.
    • Gallstone formation consistently occurred within two years post-gastrectomy.
    • No significant correlation found between cholelithiasis incidence and patient sex or age.
    • Three patients required hospitalization and subsequent cholecystectomy due to symptomatic gallstones.

    Conclusions:

    • Cholelithiasis is a significant and frequent complication after total gastrectomy.
    • The development of gallstones post-gastrectomy may be associated with concurrent vagotomy.
    • Post-gastrectomy cholelithiasis can lead to notable morbidity, necessitating clinical attention.