腹腔镜胆囊切除术后功能性胃肠道疾病症状的发展:一个前性队列研究
Ji Young Chang1, Hye-Kyung Jung2, Chang Mo Moon2
1Department of Health Promotion Medicine, Ewha Womans University Seoul Hostpial, Seoul, Republic of Korea.
Frontiers in medicine
|October 23, 2023
概括
胆囊切除术可能导致新的功能性胃肠道疾病 (FGID),特别是腹和腹,即使之前存在的FGID症状通常在手术后得到改善. 仔细的诊断和治疗对于管理这些疾病至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 功能性胃肠道疾病 功能性胃肠道疾病
背景情况:
- 胆囊切除术和功能性胃肠道疾病 (FGIDs) 之间的关系仍然是一个复杂的临床问题.
- 症状性胆结石 (胆结石) 经常呈现与重叠的FGIDs.
- 研究FGID患病率和胆囊切除术后的结果至关重要.
研究的目的:
- 在患有症状胆结石的患者中,在胆囊切除术前和之后确定FGID的重叠.
- 评估胆囊切除术后新发性FGID的发生率.
- 探索胆结石手术后FGIDs的长期结果.
主要方法:
- 选择性腹腔镜胆囊切除术的患者的潜在招募.
- 包括年龄和性别匹配的健康对照.
- 使用了社会人口统计数据,胃肠道症状和基线和12个月随访时体化的问卷.
主要成果:
- 手术前的FGID症状在胆结石患者中比对照患者更为普遍.
- 胆囊切除术后,FGID症状有所改善,除了慢性腹.
- 新出现的FGID,包括功能性消化不良,功能性腹和慢性腹痛,与对照组相比,在手术后明显更常见.
结论:
- 功能性胃肠道疾病 (FGIDs) 经常重叠在患有症状胆病的患者中,在胆囊切除术后甚至持续一年.
- 胆囊切除术后可能出现新发性FGID,这突显了持续管理的必要性.
- 在胆结石手术之前和之后,对同时存在的FGID进行彻底的诊断和治疗方法至关重要.
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