DOI QR코드

DOI QR Code

Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease

  • Shin, Yongju (Department of Food and Nutrition, Hanyang University College of Human Ecology) ;
  • Choi, Dongho (Department of Surgery, Hanyang University College of Medicine) ;
  • Lee, Kyeong Geun (Department of Surgery, Hanyang University College of Medicine) ;
  • Choi, Ho Soon (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Park, Yongsoon (Department of Internal Medicine, Hanyang University College of Medicine)
  • 투고 : 2016.07.12
  • 심사 : 2016.10.10
  • 발행 : 2018.07.01

초록

Background/Aims: After cholecystectomy, patients have reported postcholecystectomic syndromes such as abdominal symptoms, dyspepsia, and diarrhea, which suggest a relationship between cholecystectomic symptoms and diet, although the details of this association remain unclear. The present study investigated the hypothesis that dietary intake of nutrients and foods was significantly associated with postcholecystectomic syndromes. Methods: Gallstone patients (n = 59) who underwent laparoscopic cholecystectomy were enrolled, and dietary intake and clinical parameters were assessed immediately postcholecystectomy and 3 months later. Results: There were no significant differences in biochemical measurements or characteristics between symptomatic and asymptomatic patients. Immediately postcholecystectomy, there were no significant differences in consumption of nutrients or foods between symptomatic and asymptomatic patients. However, 3 months after cholecystectomy, symptomatic patients consumed more animal protein, cholesterol, and eggs, and fewer vegetables than did asymptomatic patients. Multivariable-adjusted regression analyses also indicated that the risk for symptoms was positively associated with intake of animal protein, cholesterol, and eggs, but negatively associated with intake of vegetables after adjusting for confounders. In addition, symptomatic patients consumed more bread-based breakfast foods, while asymptomatic patients consumed more rice. Conclusions: Postcholecystectomic syndromes were positively associated with intake of cholesterol, animal protein, and eggs, and negatively associated with intake of vegetables, suggesting that diet was plays a role in postcholecystectomic syndromes.

키워드

과제정보

연구 과제 주관 기관 : National Research Foundation of Korea (NRF)

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피인용 문헌

  1. Post-cholecystectomy dietary factors and implications for nursing practice vol.16, pp.7, 2018, https://doi.org/10.12968/gasn.2018.16.7.44
  2. Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review vol.2019, pp.None, 2018, https://doi.org/10.1155/2019/4278373