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[Medical nutrition after cholecystectomy].

S V Morozov1

  • 1Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation.

Voprosy Pitaniia
|May 29, 2024
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Summary

Dietary adjustments, including reduced fat intake and the use of prebiotics and probiotics, are crucial for managing post-cholecystectomy (CE) symptoms and preventing complications. Nutritional support is key after gallbladder removal surgery.

Keywords:
cholecystectomydietfunctional foodsmedical nutritionnutritional supportprebioticsprobiotics

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Area of Science:

  • Gastroenterology
  • Surgical Nutrition
  • Digestive Health

Background:

  • Cholecystectomy (CE) is a common surgery for gallstone disease.
  • Patients often experience post-CE symptoms requiring nutritional management.
  • Current dietary recommendations need structured review.

Purpose of the Study:

  • To review recent literature on diet therapy and nutritional support for patients post-CE.
  • To assess the effectiveness of various nutritional interventions.
  • To provide evidence-based recommendations for post-CE nutritional care.

Main Methods:

  • Structured literature search in PubMed/MEDLINE, EMBASE, Cyberleninka, and eLibrary.
  • Keywords included "Cholecystectomy" and "Diet", "Medical nutrition", "Nutritional support".
  • Inclusion criteria focused on intervention description, outcomes, and statistical analysis.

Main Results:

  • Early CE may necessitate reduced fat intake due to altered bile secretion.
  • Impaired bile acid circulation suggests benefits from prebiotics (dietary fiber).
  • Probiotics may be beneficial, especially post-antibiotic therapy, to manage gut microbiota.

Conclusions:

  • Nutritional support, including dietary fiber and probiotics, is vital post-CE.
  • These interventions may help prevent late complications after cholecystectomy.
  • Personalized nutritional strategies are essential for managing post-CE symptoms.