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Revista chilena de cirugía

versão On-line ISSN 0718-4026

Resumo

MANRIQUEZ, Erik et al. Postcholecystectomy diarrhea is a frequent problem?. Rev Chil Cir [online]. 2017, vol.69, n.5, pp.376-381. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2017.04.007.

Introduction:

Laparoscopic cholecystectomy (LC) is one of the most common surgical procedures in our country. Postcholecystectomy diarrhea is an unrecognized entity, with a reported prevalence between 0.9 and 35.6%, nonetheless in Chile this has not been clearly defined.

Objective:

To determine the prevalence and characteristics of diarrhea following elective laparoscopic cholecystectomy in our institution.

Material and methods:

A structured questionnaire about consistency and defecation frequency was applied to adult patients summited to an elective LC between December 2014 and February 2015, by a telephone survey within 4 and 6 months after the surgical procedure. Postcholecystectomy diarrhea was defined as the presence of liquid or unusually disrupted faecal material beginning after LC. Persistent diarrhea was established when diarrhea continued for a period longer than four weeks.

Results:

One hundred patients were included (73% women). The overall prevalence of postcholecystectomy diarrhea was 35% (n = 35). The prevalence of patients with persistent diarrhea was 15% (n = 15). In the group of patients with persistent diarrhea, complete resolution was observed on 57% of the cases (n = 8) within an average period of 99 ± 29 days.

Conclusion:

Post cholecystectomy diarrhea is a frequent condition in our population, with a high prevalence within the first 28 days after LC. In most patients it resolved within 6 months.

Palavras-chave : Diarrhea; Laparoscopic cholecystectomy; Postcholecystectomy syndrome.

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