Pain and dyspepsia after elective and acute cholecystectomy

H V Middelfart, J U Kristensen, C N Laursen, N Qvist, L Højgaard, P Funch-Jensen, H Kehlet

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstrakt

BACKGROUND:
Postcholecystectomy pain occurs in 20-30%. The main cause of this pain remains unclear. Whether the underlying gallbladder disease influences the outcome after cholecystectomy is not fully established.
METHODS:
A multicenter questionnaire study comparing the occurrence of abdominal pain and dyspepsia 5-10 years after cholecystectomy in 345 (222 women, 123 men) patients cholecystectomized for acute cholecystitis and in a control group of 296 (213 women, 83 men) patients cholecystectomized for uncomplicated symptomatic gallbladder stones.
RESULTS:
Of 641 questionnaires, 534 (83%) were completed. Complaints of abdominal pain and dyspepsia were found with similar frequencies in the acute cholecystitis and gallstone groups. Women had abdominal pain more often than men (42% versus 29%) (P = 0.01). Although more than one-third complained of abdominal pain after cholecystectomy, 93% had improved or were cured.
CONCLUSION:
The outcome after cholecystectomy seems to be independent of the underlying gallbladder disease (acute cholecystitis or elective operations for gallstones).
OriginalsprogEngelsk
BogserieScandinavian Journal of Gastroenterology. Supplement
Vol/bind33
Udgave nummer1
Sider (fra-til)10-4
Antal sider5
ISSN0036-5521
StatusUdgivet - jan. 1998

Emneord

  • Abdominal Pain
  • Acute Disease
  • Adult
  • Aged
  • Aged, 80 and over
  • Cholecystectomy
  • Cholecystitis
  • Dyspepsia
  • Elective Surgical Procedures
  • Emergencies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement
  • Pain, Postoperative
  • Questionnaires
  • Treatment Outcome
  • Urinary Bladder Calculi

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