Benefit Assessment of Low-Fat Diet in Patients Undergone Laparoscopic Cholecystectomy
School of Medicine Students' Journal,
Vol. 2 No. 4 (2020),
1 October 2020
Background and Aims: This Gastrointestinal complications are common after cholecystectomy (open and laparoscopy), including anorexia, heartburn, abdominal pain, nausea, vomiting, flatulence and abdominal distension, and diarrhea. Currently use of low-fat regimen is suggested. The purpose was to determine the benefit of low-fat diet in patients undergone cholecystectomy.
Materials and Methods: In this interventional study that was done as a randomized clinical trial, 80 consecutive patients undergone cholecystectomy in Loghman Hospital in 2019 were enrolled and randomly assigned to receive either low-fat (25%) or routine regimen. After two months, the results were assessed by comparing the responses to a questionnaire including anorexia, heartburn, abdominal pain, nausea, vomiting, flatulence plus abdominal distension, and diarrhea as items, with total score of 21 points.
Results: The results in this study demonstrated that 60% of the patients showed significantly different response according to Chi-Square test (P=0.041). Age, sex, and obesity had statistically significant effect on results (P > 0.05).
Conclusion: Altogether, according to the obtained results, it may be concluded that low-fat diet consumption is beneficial in patients undergone cholecystectomy and it may be practiced according to the patient’s condition and physician’s opinion.
- Dietary Regimen
- GI side effects
How to Cite
Hauskic SK, Kosuta D, Muminhodzic K. Comparison of postoperative hepatic function between laparoscopic and open cholecystectomy. Med Princ Pract 2005; 14(3): 147-150.
Kotake Y, Takeda J, Matsumoto M, Tagawa M, Kikuchi H. Subclinical hepatic dysfunction in laparoscopic cholecystectomy and laparoscopic colectomy. Br J Anaesth 2001; 87(5): 774-777.
Bostanci EB, Yol S, Teke Z, Kayaalp C, Sakaogullari Z, Ozel Turkcu U, et al. Effect of carbon dioxide pnumoperitoneum on hepatic function in obstructive jaundice: an experimental study in a rat model. Langenbecks Arch Surg 2010; 395(6): 667- 676.
Giraudo G, Brachet Contul R, Caccetta M, Morino M. Gasless Laparascopy could avoid altrerations in hepatic function. Surg Endosc 2001; 15(7): 741-746.
Meierhenrich R, Gauss A, Vandenesch P, Georgieff M, Poch B, Schütz W. The effects of intraabdominally insufflated carbon dioxide on hepatic blood flow during laparoscopic surgery assessed by transesophageal echocardiography. Anesth Analg 2005; 100(2): 340-347.
Coelho JCU, Nassif AE, Campos ACL. Residual vesicle. Rev Col Bras Cir. 2002; 29 (6): 367-9
Salim MT, Cutait R. Complications of laparoscopic surgery in the treatment of diseases of the gallbladder and bile ducts. ABCD file bras cir dig. 2008; 21 (4): 153-7.
Teixeira J, Ribeiro C, Moreira LM, de Sousa F, Pinho A, Graça L, et al. Laparoscopic cholecystectomy and open cholecystectomy in acute cholecystitis: critical analysis of 520 cases. Acta Med Port. 2014 Nov-Dec;27(6):685-91.
Götzky K, Landwehr P, Jähne J. Epidemiology and clinical presentation of acute cholecystitis. Chirurg. 2013 Mar;84(3):179-84.
Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012 Apr;6(2):172-87.
Kim H, Han IW, Heo JS, et al. Postcholecystectomy syndrome: symptom clusters after laparoscopic cholecystectomy. Ann Surg Treat Res. 2018 Sep;95(3):135-40.
Arora D, Kaushik R, Kaur R, Sachdev A. Post-cholecystectomy syndrome: A new look at an old problem. J Minim Access Surg. 2018 Jul-Sep;14(3):202-7.
Shirah BH, Shirah HA, Zafar SH, Albeladi KB. Clinical patterns of postcholecystectomy syndrome. Ann Hepatobiliary Pancreat Surg. 2018 Feb;22(1):52-7.
Yueh TP, Chen FY, Lin TE, Chuang MT. Diarrhea after laparoscopic cholecystectomy: associated factors and predictors. Asian J Surg. 2014;37:171–177.
Cummings JH, Wiggins HS, Jenkins DJ, et al. Influence of diets high and low in animal fat on bowel habit, gastrointestinal transit time, fecal microflora, bile acid, and fat excretion. J Clin Invest. 1978;61:953–963
Arlow FL, Dekovich AA, Priest RJ, Beher WT. Bile acid-mediated postcholecystectomy diarrhea. Arch Intern Med. 1987;147:1327–1329.
Fisher M, Spilias DC, Tong LK. Diarrhoea after laparoscopic cholecystectomy: incidence and main determinants. ANZ J Surg. 2008;78:482–486
Johnson AG. Gallstones and flatulent dyspepsia: cause or coincidence? Postgrad Med J. 1971;47:767–772
Kumar V, Pande GK. Complications of cholecystectomy in the era of laparoscopic surgery. Trop Gastroenterol. 2001 Apr-Jun;22(2):72-9.
Altomare DF, Rotelli MT, Palasciano N. Diet after cholecystectomy. Curr Med Chem. 2017 May 17.
- Abstract Viewed: 129 times
- PDF Downloaded: 120 times