The effect of laparoscopic cholecystectomy on the rate of ga | 18194
International Research Journals

The effect of laparoscopic cholecystectomy on the rate of gastric emptying; A prospective, randomized clinical study


Coskun Polat, Eser Kaya, Burc Yazicioglu,Taner Ozkececi,Sezgin Yilmaz,Yuksel Arikan

Following laparoscopic surgery gastrointestinal mot ility can change to a greater or lesser degree. Although, almost every kind of study performed abou t laparoscopic cholecysctectomy, gastric emptying has been evaluated in a few studies. The a im of this prospective, randomized study is to investigate the effect of laparoscopic cholecystect omy on gastric emptying time. Twenty patients undergoing laparoscopic cholecystectomy (female/mal e 17/3) and 16 healthy volunteers (female/male 14/2) were enrolled into the study. Following an 8- hour fast, one minute scintigraphic images were obtained in the anterior and posterior projection i mmediately, and 30, 60, 90 and 120 min after a 500 μCi (18 MBq) Tc99m sulphur colloid labelled egg, 2 slic es of bread and 150 mL of orange juice ingestion. The gastric half emptying time (T1/2 min) was found while the patient was standing. A significant difference of gastric emptying values was found bet ween the patients undergoing laparoscopic cholecystectomy and the Control group (p<0.005). Ga stric emptying of solid meal in patients undergoing laparoscopic cholecystectomy was slower than in the Control group. Although, laparoscopic cholecystectomy is a safe and minimall y invasive surgical procedure, it may have an adverse effect on the gastric emptying time. In the early postoperative period, minimal abdominal discomfort and dyspepsia may occur which may be ass ociated with the delay in gastric emptying in patients undergoing laparoscopic cholecystectomy

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