RISK FACTORS AFFECTING THE DEVELOPMENT OF EARLY POST CHOLECYSTECTOMY SYNDROME

*Ziyad Tariq Abbas, (M.B.Ch.B, H.D.G.S) and Abdulaziz Abood Majeed, (M.B.Ch.B, C. A. B. S, F. I. B. M. S, D. G. S)

ABSTRACT

Background: Post Cholecystectomy Syndrome is commonly manifested as upper abdominal pain and dyspepsia. These symptoms return to different causes of biliary tract and non-biliary tract origin. Aim of study: To assess the incidence and the risk factors for development of post cholecystectomy syndrome after laparoscopic cholecystectomy. Patients and Methods: Randomized prospective study included 70 patients undergone elective laparoscopic cholecystectomy was conducted in the surgical unit, department of surgery, Al-Numan Teaching Hospital in Baghdad during a period of two years from Feb, 2017 – May, 2019. Patients diagnosed with malignancy and patients with incomplete information with respect to anthropometry, laboratory investigations, and ultrasound findings were excluded from the study. Preoperative and intraoperative variables were compared between those patients who developed PCS and those who didn’t. Results: Out of 70 patients included, twelve with mean age of 41.4 ± 3.6 years were developed an early PCS with an incidence rate of 17.1%. The most common presenting symptoms was dyspepsia (75%). Prevalence of early PCS was significantly higher in patients with small gall stones, in patients with previous attacks of acute cholecystitis, and in patients with spillage of stones or bile. Conclusion: Post cholecystectomy syndrome is not uncommon condition in our local community in Iraq, the incidence rate is aligned with that worldwide. Spillage of stones, recurrent attacks of acute cholecystitis and small size of stones are considered as risk factor for developing post cholecystectomy syndrome.

Keywords: Post cholecystectomy syndrome, risk factors, incidence rate, Iraq.