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[Digestive changes in cholecystectomized patients]

F Patiño, R Ponce, J Lora

    Acta Gastroenterologica Latinoamericana
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    Cholecystectomy patients may develop chronic gastritis and colon changes years later. These gastrointestinal issues may stem from bile reflux and altered enterohepatic circulation post-surgery.

    Area of Science:

    • Gastroenterology
    • Digestive System Disorders
    • Post-Surgical Complications

    Context:

    • A significant number of patients experience gastrointestinal symptoms years after cholecystectomy.
    • These symptoms include diarrhea, constipation, abdominal pain, regurgitation, and vomiting.
    • The underlying cause in patients without biliary tract lesions remains unclear.

    Purpose:

    • To investigate potential gastric or colonic alterations in cholecystectomized patients experiencing long-term symptoms.
    • To identify lesions or conditions that may explain post-cholecystectomy gastrointestinal dysfunction.
    • To correlate clinical symptoms with histopathological findings.

    Summary:

    • Forty cholecystectomized patients with post-operative symptoms underwent extensive gastrointestinal evaluations.

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  • Standard tests (hemogram, amylasemia, imaging, parasitology) were normal.
  • All patients exhibited chronic gastritis; colon biopsies revealed minor histopathological changes.
  • Impact:

    • Identifies chronic gastritis and subtle colon mucosal alterations as common findings in symptomatic cholecystectomized patients.
    • Suggests bile reflux into the stomach and duodenum, and altered enterohepatic circulation as potential etiological factors.
    • Provides a basis for further research into managing long-term gastrointestinal sequelae of cholecystectomy.