在腹腔镜胆囊切除术后的第一年,出现严重的胃肠道症状
Saleh Abdulrahman Almulhim1, Mounther Mohammed AlNaim2, Abdul Qadeer Memon3
1Saleh Abdulrahman Almulhim, MBBS Family Medicine Physician, National Guard Hospital AlAhsa, Saudi Arabia.
Pakistan journal of medical sciences
|January 27, 2025
概括
严重的胃肠道症状影响了 laparoscopic 胆囊切除术后的许多患者. 较高的BMI和频繁的胆囊炎发作是长期症状的危险因素,而早期手术可能会降低严重程度.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 消化系统健康 消化系统健康
背景情况:
- 胆囊切除术是一种常见的手术,但手术后的胃肠道 (GI) 症状是患者经常关注的问题.
- 了解严重的胃肠道症状的风险因素对于改善腹腔镜胆囊切除术 (LC) 后的患者管理至关重要.
研究的目的:
- 为了确定与腹腔镜胆囊切除术 (LC) 后严重胃肠道症状相关的危险因素.
- 评估LC后第一年内的症状流行,特征和持续时间.
主要方法:
- 一项多中心前性观察性研究,涉及1002名接受胆结石LC治疗的患者.
- 患者在手术后被监测了一年,以观察严重的胃肠道症状的发展.
主要成果:
- 13.87%的患者出现了严重的胃肠道症状,主要是女性.
- 常见的症状包括排便频率增加,便松散,急迫性和胀气.
- 肥胖 (BMI>40),频繁的胆囊炎发作和紧急手术与症状严重程度和持续时间的增加有关.
结论:
- 在患有胆囊炎发作较少的患者中,早期的LC可能会降低严重的手术后胃肠道症状的发生率.
- 识别和管理诸如肥胖和频繁发作等危险因素,有可能缓解长期的胃肠道问题.
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