Postcholecystectomy syndrome: symptom clusters after laparoscopic cholecystectomy
Annals of Surgical Treatment and Research
;
: 135-140, 2018.
Article
in English
| WPRIM
| ID: wpr-716859
ABSTRACT
PURPOSE:
Postcholecystectomy syndrome (PCS) is characterized by abdominal symptoms following gallbladder removal. However, there is no consensus for the definition or treatment for PCS. The purpose of this study was to define PCS among various symptoms after laparoscopic cholecystectomy, and to identify risk factors affecting PCS.METHODS:
This study was conducted at Dongguk University Ilsan Hospital and Chung-Ang University Hospital (2012–2013). Outcomes were assessed using European Organization for Research and Treatment of Cancer QLQ–C30 questionnaire. Symptom cluster for determining PCS was made by factor analysis. Cluster analysis evaluating risk factors of PCS was made by Ward methods and Dentogram.RESULTS:
Factor analysis revealed three distinct symptom clusters, those are ‘insomnia and financial difficulties (eigenvalue, 1.707; Cronbach α, 0.190),’‘appetite loss and constipation (eigenvalue, 1.413; Cronbach α, 0.480),’ and ‘right upper quadrant (RUQ) pain and diarrhea (eigenvalue, 1.245; Cronbach α, 0.315).’ Among these symptom clusters, the cluster of ‘RUQ pain and diarrhea’ was determined as PCS. However, we could not find any risk factors between high symptomatic group and low symptomatic group.CONCLUSION:
PCS could consist of RUQ pain and diarrhea. Well-designed prospective trials are needed to determine risk factors of PCS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quality of Life
/
Cholecystectomy
/
Prospective Studies
/
Risk Factors
/
Cholecystectomy, Laparoscopic
/
Postcholecystectomy Syndrome
/
Constipation
/
Consensus
/
Diarrhea
/
Gallbladder
Type of study:
Diagnostic study
/
Etiology study
/
Practice guideline
/
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2018
Type:
Article
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