Comparative Study between Fat Restriction and Normal Diet on Post Laparoscopic Cholecystectomy Patients in Early Postoperative Period

Document Type : Original Article

Abstract

Post-cholecystectomy syndrome involves a heterogeneous group of gastrointestinal symptoms after cholecystectomy, including biliary and non-biliary disorders. Certain entities should be ruled out, such as choledocholithiasis, bile duct lesions or bile leaks, which have specific treatments. This work: is to compare between the effect of Fat Restriction and Normal Diet on Post Laparoscopic Cholecystectomy Patients. This study was a prospective study; it was carried out on 40 patients presented with chronic calcular cholecystitis admitted in the general surgery department at AL-Zahraa University Hospital during the period from January 2021 to July 2021 and underwent laparoscopic cholecystectomy, 20 patients were advised to consume fat restricted diet early post-operative, from the first post-operative day and for one month. Other 20 patients were advised to consume normal diet without restrictions early post-operative, from the first day post-operative, for one month. All patients were followed up in our outpatient clinic after discharge and were evaluated for the presence of Abdominal pain; Diarrhea; Steatorrhea; Nausea; Vomiting; Constipation; Distention; Bowel urgency; Fatty dyspepsia and Eructation. We applied this work on 40 patients underwent laparoscopic cholecystectomy and our results revealed that 2 patients presented with abdominal pain one patient (5%) normal diet and one patient (5%) fat restriction; one patient presented with diarrhea one patient (5%) normal diet (zero) fat restriction; one patient presented with steatorrhea one patient (5%) normal diet (zero) fat restriction; one patient presented with nausea one patient (5%) normal diet (zero) fat restriction; (zero) patient presented with vomiting; one patient presented with constipation (zero) normal diet one patient (5%) fat restriction; 3 patients presented with distention 2 patients (10%) normal diet one patient (5%) fat restriction; (zero) patient presented with bowel urgency; (zero) patient presented with fatty dyspepsia and (zero) patient presented with eructation. We found that Low fat diet does not seem to have an advantage over normal diet in post lap. Cholecystectomy patients in early post-operative period.

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