Pain and dyspepsia after elective and acute cholecystectomy

H V Middelfart, J U Kristensen, C N Laursen, N Qvist, L Højgaard, P Funch-Jensen, H Kehlet

45 Citations (Scopus)

Abstract

BACKGROUND: Postcholecystectomy pain occurs in 20-30%. The main cause of this pain remains unclear. Whether the underlying gallbladder disease influences the outcome after cholecystectomy is not fully established.

METHODS: A multicenter questionnaire study comparing the occurrence of abdominal pain and dyspepsia 5-10 years after cholecystectomy in 345 (222 women, 123 men) patients cholecystectomized for acute cholecystitis and in a control group of 296 (213 women, 83 men) patients cholecystectomized for uncomplicated symptomatic gallbladder stones.

RESULTS: Of 641 questionnaires, 534 (83%) were completed. Complaints of abdominal pain and dyspepsia were found with similar frequencies in the acute cholecystitis and gallstone groups. Women had abdominal pain more often than men (42% versus 29%) (P = 0.01). Although more than one-third complained of abdominal pain after cholecystectomy, 93% had improved or were cured.

CONCLUSION: The outcome after cholecystectomy seems to be independent of the underlying gallbladder disease (acute cholecystitis or elective operations for gallstones).

Original languageEnglish
JournalScandinavian Journal of Gastroenterology
Volume33
Issue number1
Pages (from-to)10-4
Number of pages5
ISSN0036-5521
Publication statusPublished - Jan 1998

Keywords

  • Abdominal Pain
  • Acute Disease
  • Adult
  • Aged
  • Aged, 80 and over
  • Cholecystectomy
  • Cholecystitis
  • Dyspepsia
  • Elective Surgical Procedures
  • Emergencies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement
  • Pain, Postoperative
  • Surveys and Questionnaires
  • Treatment Outcome
  • Urinary Bladder Calculi
  • Journal Article
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

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