Recognition of the related issues on postcholecystectomy
-
摘要: 大约10%~30%的胆囊切除术后患者会再出现右上腹痛、非特异性消化不良以及其他临床症候群,但究其原因仍未明确。随着影像学和内镜技术的不断发展,对胆囊切除术后的一些问题也有了一些新的认识。本文就胆囊切除术后发生的腹泻、右上腹痛、Odd’is括约肌运动障碍(SOD)、心理疾患及结肠癌等一些相关问题进行了简单的阐述。Abstract: 10%-30% patients after cholecystectomy suffer from right upper abdominal pain, nonspecific dyspepsia and other symptoms with the causes remaining uncertain.With the development of imaging and endoscopic technique, there are new recognitions of postcholecystectomy.We summarized the recent findings concerning diarrhea, right upper abdominal pain, sphincter of oddi dysfunction (SOD) , psychic problems and carcinoma of colon after cholecystectomy.
-
[1]Lublin M, Crawford DL, Hiatt JR, et al.Symptoms beforeand after laparoscopic cholecystectomy for gallstones[J].Am Surg, 2004, 70 (10) :863-866. [1]Lublin M, Crawford DL, Hiatt JR, et al.Symptoms beforeand after laparoscopic cholecystectomy for gallstones[J].Am Surg, 2004, 70 (10) :863-866. [2]Fisher M, Spilias DC, Tong LK.Diarrhoea after laparoscopiccholecystectomy:incidence and main determinants[J].ANZJ Surg.2008, 78 (6) :482-486. [2]Fisher M, Spilias DC, Tong LK.Diarrhoea after laparoscopiccholecystectomy:incidence and main determinants[J].ANZJ Surg.2008, 78 (6) :482-486. [3]Schietroma M, Carlei F, Cappelli S, et al.Intestinal permea-bility and systemic endotoxemia after laparotomic or laparo-scopic cholecystectomy[J].Ann Surg, 2006, 243 (3) :359-363. [3]Schietroma M, Carlei F, Cappelli S, et al.Intestinal permea-bility and systemic endotoxemia after laparotomic or laparo-scopic cholecystectomy[J].Ann Surg, 2006, 243 (3) :359-363. [4]耿少民.胆囊摘除术后应用半夏泻心汤50例[J].陕西中医, 2008, 29 (9) :1144-1145. [4]耿少民.胆囊摘除术后应用半夏泻心汤50例[J].陕西中医, 2008, 29 (9) :1144-1145. [5]Tsoraides SS, Cha AI, Crawford DL.Postcholecystectomybiliary symptoms[J].J Surg Educ, 2007, 64 (4) :228-233. [5]Tsoraides SS, Cha AI, Crawford DL.Postcholecystectomybiliary symptoms[J].J Surg Educ, 2007, 64 (4) :228-233. [6]Vetrhus M, Berhane T, S reide O, et al.Pain persists inmany patients five years after removal of the gallbladder:ob-servations from two randomized controlled trials of symptom-atic, noncomplicated gallstone disease and acute cholecysti-tis[J].J Gastrointest Surg, 2005, 9 (6) :826-831. [6]Vetrhus M, Berhane T, S reide O, et al.Pain persists inmany patients five years after removal of the gallbladder:ob-servations from two randomized controlled trials of symptom-atic, noncomplicated gallstone disease and acute cholecysti-tis[J].J Gastrointest Surg, 2005, 9 (6) :826-831. [7]Schofer JM.Biliary causes of postcholecystectomy syndrome[J].J Emerg Med, 2010, 39 (4) :406-410. [7]Schofer JM.Biliary causes of postcholecystectomy syndrome[J].J Emerg Med, 2010, 39 (4) :406-410. [8]Piccinni G, Angrisano A, Testini M, et al.Diagnosing andtreating sphincter of Oddi dysfunction:a critical literature re-view and reevaluation[J].J Clin Gastroenterol, 2004, 38 (4) :350-359. [8]Piccinni G, Angrisano A, Testini M, et al.Diagnosing andtreating sphincter of Oddi dysfunction:a critical literature re-view and reevaluation[J].J Clin Gastroenterol, 2004, 38 (4) :350-359. [9]Zhang ZH, Wu SD, Wang B, et al.Sphincter of Oddi hypo-motility and its relationship with duodenal-biliary reflux, plasmamotilin and serum gastrin[J].World J Gastroenterol, 2008, 14 (25) :4077-4081. [9]Zhang ZH, Wu SD, Wang B, et al.Sphincter of Oddi hypo-motility and its relationship with duodenal-biliary reflux, plasmamotilin and serum gastrin[J].World J Gastroenterol, 2008, 14 (25) :4077-4081. [10]Redwan AA.Multidisciplinary approaches for management ofpostcholecystectomy problems (surgery, endoscopy, andpercutaneous approaches) [J].Surg Laparosc Endosc Per-cutan Tech, 2009, 19 (6) :459-469. [10]Redwan AA.Multidisciplinary approaches for management ofpostcholecystectomy problems (surgery, endoscopy, andpercutaneous approaches) [J].Surg Laparosc Endosc Per-cutan Tech, 2009, 19 (6) :459-469. [11]JohnsonJO, Singh K, Arregui ME.Outcomes of endoscopicand surgical management of sphincter of Oddi dyskinesia inpatients not responding to cholecystectomy for chronic Acal-culous cholecystitis[J].A Gastroenterology APR, 2008, 134 (4) :879-890. [11]JohnsonJO, Singh K, Arregui ME.Outcomes of endoscopicand surgical management of sphincter of Oddi dyskinesia inpatients not responding to cholecystectomy for chronic Acal-culous cholecystitis[J].A Gastroenterology APR, 2008, 134 (4) :879-890. [12]Vijayakumar V, Briscoe EG, Pehlivanov ND.Postcholecys-tectomy sphincter of oddi dyskinesia-a diagnostic dilemma-role of noninvasive nuclear and invasive manometric andendoscopic aspects[J].Surg Laparosc Endosc PercutanTech, 2007, 17 (1) :10-13. [12]Vijayakumar V, Briscoe EG, Pehlivanov ND.Postcholecys-tectomy sphincter of oddi dyskinesia-a diagnostic dilemma-role of noninvasive nuclear and invasive manometric andendoscopic aspects[J].Surg Laparosc Endosc PercutanTech, 2007, 17 (1) :10-13. [13]Murray W, Kong S.Botulinum toxin may predict the out-come of endoscopic sphincterotomy in episodic functionalpost-cholecystectomy biliary pain[J].Scand J Gastroen-terol, 2010, 45 (5) :623-627. [13]Murray W, Kong S.Botulinum toxin may predict the out-come of endoscopic sphincterotomy in episodic functionalpost-cholecystectomy biliary pain[J].Scand J Gastroen-terol, 2010, 45 (5) :623-627. [14]Bennett E, Evans P, Dowsett J, et al.Sphincter of Oddidysfunction:psychosocial distress correlates with manomet-ric dyskinesia but not stenosis[J].World J Gastroenterol, 2009, 15 (48) :6080-6085. [14]Bennett E, Evans P, Dowsett J, et al.Sphincter of Oddidysfunction:psychosocial distress correlates with manomet-ric dyskinesia but not stenosis[J].World J Gastroenterol, 2009, 15 (48) :6080-6085. [15]Barthelsson C, Nordstr m G, Norberg A°.Sense of coher-ence and other predictors of pain and health following laparo-scopic cholecystectomy[J].Scand J Caring Sci, 2011, 25 (1) :143-150. [15]Barthelsson C, Nordstr m G, Norberg A°.Sense of coher-ence and other predictors of pain and health following laparo-scopic cholecystectomy[J].Scand J Caring Sci, 2011, 25 (1) :143-150. [16]Goldacre MJ, Abisgold JD, Seagroatt V, et al.Cancer aftercholecystectomy:record-linkage cohort study[J].Br JCancer, 2005, 92 (7) :1307-1309. [16]Goldacre MJ, Abisgold JD, Seagroatt V, et al.Cancer aftercholecystectomy:record-linkage cohort study[J].Br JCancer, 2005, 92 (7) :1307-1309. [17]Vinikoor LC, Galanko JA, Sandler RS.Cholecystectomy andthe risk of colorectal adenomas[J].Dig Dis Sci, 2008, 53 (3) :730-735. [17]Vinikoor LC, Galanko JA, Sandler RS.Cholecystectomy andthe risk of colorectal adenomas[J].Dig Dis Sci, 2008, 53 (3) :730-735. [18]Altieri A, Pelucchi C, Talamini R, et al.Cholecystectomy andthe risk of colorectal cancer in Italy[J].Br J Cancer, 2004, 90 (9) :1753-1755. [18]Altieri A, Pelucchi C, Talamini R, et al.Cholecystectomy andthe risk of colorectal cancer in Italy[J].Br J Cancer, 2004, 90 (9) :1753-1755. [19]Siddiqui AA, KedikaR, Mahgoub A, et al.A previous chole-cystectomy increases the risk of developing advanced adeno-mas of the colon[J].South Med J, 2009, 102 (11) :1111-1115. [19]Siddiqui AA, KedikaR, Mahgoub A, et al.A previous chole-cystectomy increases the risk of developing advanced adeno-mas of the colon[J].South Med J, 2009, 102 (11) :1111-1115.
本文二维码
计量
- 文章访问数: 2518
- HTML全文浏览量: 20
- PDF下载量: 791
- 被引次数: 0