[Medical nutrition after cholecystectomy]

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.