RESUMO
Introducción: A pesar de la falta de evidencia, tradicionalmente se ha recomendado seguir una dieta baja en grasas tras la colecistectomía. El objetivo principal fue analizar la correlación potencial entre los síntomas postoperatorios y el tipo de dieta tras la colecistectomía. Métodos: Los síntomas fueron evaluados de forma prospectiva mediante el cuestionario Gastrointestinal Quality of Life Index (GIQLI) antes de la intervención, al mes y 6 meses después de la colecistectomía en 83 pacientes operados en nuestro centro. Los pacientes completaron un cuestionario sobre su dieta y fueron clasificados en 4 grupos de acuerdo a la cantidad de grasa ingerida. Las diferencias en la puntuación GIQLI dependiendo del tipo de dieta se evaluaron en el tiempo. Resultados: La puntuación GIQLI total y varias dimensiones aumentaron significativamente tras la cirugía respecto al valor basal, independientemente de la ingesta de grasa en la dieta. Entre los síntomas evaluados por el GIQLI, la diarrea y la urgencia defecatoria empeoraron mientras que el estreñimiento mejoró. Más del 50% de los pacientes experimentaron cambios en el ritmo deposicional después de la cirugía, que fueron persistentes durante 6 meses en el 23% de los casos. Conclusiones: La dieta baja en grasas no parece influir en la mejoría de los síntomas tras la colecistectomía. No obstante, los resultados de un estudio aleatorizado que se está realizando en nuestro centro contribuirán a confirmar los resultados de este estudio prospectivo
Introduction: Even though evidence is lacking, a low-fat diet has been traditionally recommended after cholecystectomy. The main aim of this study was to assess the potential correlation between postoperative symptoms and type of diet after cholecystectomy. Methods: Symptoms were prospectively assessed by the Gastrointestinal Quality of Life Index (GIQLI) score at baseline, one month and 6 months after cholecystectomy in 83 patients operated on at our institution. Patients completed a questionnaire about their diet and were classified into 4 groups according to the amount of fat intake. Differences in the GIQLI score depending on the type of diet were assessed over time. Results: The overall GIQLI score and most subdomains significantly increased after surgery compared to baseline, regardless of the intake of dietary fat. Constipation improved after cholecystectomy compared to baseline, whereas diarrhea and bowel urgency got worse. More than 50% of patients experienced a change in their bowel habit after surgery, which persisted 6 months later in 23% of cases. Conclusions: A low fat diet does not seem to have an influence on the improvement of symptoms after cholecystectomy. However, a randomized study is ongoing at our institution to confirm the results of this prospective study
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Colecistectomia/métodos , Dieta com Restrição de Gorduras , Inquéritos e Questionários , Estudos Prospectivos , Qualidade de Vida , Índice de Massa Corporal , Esfinterotomia Endoscópica , Complicações Pós-Operatórias/dietoterapiaRESUMO
INTRODUCTION: Even though evidence is lacking, a low-fat diet has been traditionally recommended after cholecystectomy. The main aim of this study was to assess the potential correlation between postoperative symptoms and type of diet after cholecystectomy. METHODS: Symptoms were prospectively assessed by the Gastrointestinal Quality of Life Index (GIQLI) score at baseline, one month and 6 months after cholecystectomy in 83 patients operated on at our institution. Patients completed a questionnaire about their diet and were classified into 4 groups according to the amount of fat intake. Differences in the GIQLI score depending on the type of diet were assessed over time. RESULTS: The overall GIQLI score and most subdomains significantly increased after surgery compared to baseline, regardless of the intake of dietary fat. Constipation improved after cholecystectomy compared to baseline, whereas diarrhea and bowel urgency got worse. More than 50% of patients experienced a change in their bowel habit after surgery, which persisted 6 months later in 23% of cases. CONCLUSIONS: A low fat diet does not seem to have an influence on the improvement of symptoms after cholecystectomy. However, a randomized study is ongoing at our institution to confirm the results of this prospective study.
