Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review
المؤلفون المشاركون
Latenstein, Carmen S. S.
Wennmacker, Sarah Z.
de Jong, Judith J.
van Laarhoven, Cornelis J. H. M.
Drenth, Joost P. H.
de Reuver, Philip R.
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-04-14
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background.
Cholecystectomy does not relieve abdominal symptoms in up to 40% of patients.
With 700,000 cholecystectomies performed in the US, annually, about 280,000 patients are left with symptoms, making this a serious problem.
We performed a systematic review to determine the different etiologies of long-term postcholecystectomy symptoms with the aim to provide guidance for clinicians treating these patients.
Methods.
A systematic search of the literature was performed using MEDLINE, EMBASE, and Web of Science.
Articles describing at least one possible etiology of long-term symptoms after a laparoscopic cholecystectomy were included in this review.
Long-term symptoms were defined as abdominal symptoms that were present at least four weeks after cholecystectomy, either persistent or incident.
The etiologies of persistent and incident symptoms after LC and the mechanism or hypothesis behind the etiologies are provided.
If available, the prevalence of the discussed etiology is provided.
Results.
The search strategy identified 3320 articles of which 130 articles were included.
Etiologies for persistent symptoms were residual and newly formed gallstones (41 studies, prevalence ranged from 0.2 to 23%), coexistent diseases (64 studies, prevalence 1-65%), and psychological distress (13 studies, no prevalence provided).
Etiologies for incident symptoms were surgical complications (21 studies, prevalence 1-3%) and physiological changes (39 studies, prevalence 16-58%).
Sphincter of Oddi dysfunction (SOD) was reported as an etiology for both persistent and incident symptoms (21 studies, prevalence 3-40%).
Conclusion.
Long-term postcholecystectomy symptoms vary amongst patients, arise from different etiologies, and require specific diagnostic and treatment strategies.
Most symptoms after cholecystectomy seem to be caused by coexistent diseases and physiological changes due to cholecystectomy.
The outcome of this research is summarized in a decision tree to give clinical guidance on the treatment of patients with symptoms after cholecystectomy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Latenstein, Carmen S. S.& Wennmacker, Sarah Z.& de Jong, Judith J.& van Laarhoven, Cornelis J. H. M.& Drenth, Joost P. H.& de Reuver, Philip R.. 2019. Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1155190
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Latenstein, Carmen S. S.…[et al.]. Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review. Gastroenterology Research and Practice No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1155190
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Latenstein, Carmen S. S.& Wennmacker, Sarah Z.& de Jong, Judith J.& van Laarhoven, Cornelis J. H. M.& Drenth, Joost P. H.& de Reuver, Philip R.. Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1155190
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1155190
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر