胆结石与肠胃气胀性消化不良：是病因还是巧合？
Gallstones and flatulent dyspepsia: cause or coincidence?
作者信息
Johnson A G
出版信息
Postgrad Med J. 1971 Dec;47(554):767-72. doi: 10.1136/pgmj.47.554.767.
Abstract
The pre-operative and postoperative incidence of flatulent dyspepsia was studied in 108 patients undergoing cholecystectomy. Ninety (83%) had pre-operative symptoms; of these forty-one (46%) were symptom-free after operation and twenty-two (24%) were improved but twenty-seven (30%) were no better. Patients with a well-functioning gallbladder, demonstrated radiologically, were relieved significantly more often than those with a poor or non-functioning gallbladder. Fatty food precipitated the symptoms in the majority of patients. These figures suggest that there is neither a direct causal relationship between gallstones and flatulent dyspepsia nor is the relationship entirely coincidental. The implications of these findings for clinical practice are discussed.
摘要
对108例接受胆囊切除术的患者术前和术后胀气性消化不良的发生率进行了研究。90例（83%）有术前症状；其中41例（46%）术后无症状，22例（24%）症状改善，但27例（30%）无好转。经放射学检查胆囊功能良好的患者，症状缓解的比例明显高于胆囊功能差或无功能的患者。大多数患者进食油腻食物会诱发症状。这些数据表明，胆结石与胀气性消化不良之间既不存在直接因果关系，也并非完全偶然相关。讨论了这些发现对临床实践的意义。
相似文献
1
Gallstones and flatulent dyspepsia: cause or coincidence?胆结石与肠胃气胀性消化不良：是病因还是巧合？
Postgrad Med J. 1971 Dec;47(554):767-72. doi: 10.1136/pgmj.47.554.767.
2
Flatulent dyspepsia: a tiered symptom complex?肠胃气胀性消化不良：一种分层的症状复合体？
Med Hypotheses. 1975 Nov-Dec;1(6):204-6. doi: 10.1016/0306-9877(75)90003-1.
3
Gallstones, gastric secretion, and flatulent dyspepsia.胆结石、胃液分泌与肠胃气胀性消化不良。
Lancet. 1967 Feb 25;1(7487):413-5. doi: 10.1016/s0140-6736(67)91176-2.
4
Flatulent dyspepsia in patients with gallstones undergoing cholecystectomy.
Br J Surg. 1975 Mar;62(3):231-3. doi: 10.1002/bjs.1800620314.
5
Letter: Flatulent dyspepsia: unnecessary operations--and investigations.信件：肠胃胀气性消化不良：不必要的手术及检查。
Lancet. 1975 Apr 26;1(7913):973. doi: 10.1016/s0140-6736(75)92028-0.
6
Circulating gastrointestinal hormones in patients with flatulent dyspepsia, with and without gallbladder disease.伴有或不伴有胆囊疾病的肠胃气胀性消化不良患者的循环胃肠激素
Digestion. 1986;35(4):211-6. doi: 10.1159/000199370.
7
Cholecystectomy and gallstone dyspepsia. Clinical and physiological study of a symptom complex.胆囊切除术与胆石性消化不良。一种症状复合体的临床与生理学研究。
Ann R Coll Surg Engl. 1975 Feb;56(2):69-80.
8
Editorial: Fiar, fat, and flatulent.社论：发热、肥胖与肠胃胀气。
Lancet. 1975 Mar 29;1(7909):731.
9
Controlled trial of metoclopramide in the treatment of flatulent dyspepsia.甲氧氯普胺治疗肠胃气胀性消化不良的对照试验。
Br Med J. 1971 Apr 3;2(5752):25-6. doi: 10.1136/bmj.2.5752.25.
10
Gallbladder disease. Prevalence in a South Wales industrial town.
N Engl J Med. 1976 May 20;294(21):1147-9. doi: 10.1056/NEJM197605202942103.
引用本文的文献
1
Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease.胆囊疾病患者饮食摄入与腹腔镜胆囊切除术后症状之间的关联。
Korean J Intern Med. 2018 Jul;33(4):829-836. doi: 10.3904/kjim.2016.223. Epub 2017 Nov 10.
2
Effect of laparoscopic cholecystectomy on gastric emptying and dyspepsia.腹腔镜胆囊切除术对胃排空和消化不良的影响。
Surg Endosc. 2013 Sep;27(9):3116-20. doi: 10.1007/s00464-013-2838-2. Epub 2013 Feb 7.
3
Persistent and de novo symptoms after cholecystectomy: a systematic review of cholecystectomy effectiveness.胆囊切除术后持续和新发症状：胆囊切除术效果的系统评价。
Surg Endosc. 2013 Mar;27(3):709-18. doi: 10.1007/s00464-012-2516-9. Epub 2012 Oct 6.
4
Abdominal symptoms: do they disappear after cholecystectomy?腹部症状：胆囊切除术后会消失吗？
Surg Endosc. 2003 Nov;17(11):1723-8. doi: 10.1007/s00464-002-9154-6. Epub 2003 Jun 17.
5
Symptoms of oesophageal reflux are more common following laparoscopic cholecystectomy than in a control population.与对照组人群相比，腹腔镜胆囊切除术后食管反流症状更为常见。
Ir J Med Sci. 1998 Jan-Mar;167(1):11-3. doi: 10.1007/BF02937544.
6
Post-cholecystectomy symptoms after laparoscopic cholecystectomy.腹腔镜胆囊切除术后的胆囊切除术后症状
Ann R Coll Surg Engl. 1993 Sep;75(5):349-53.
7
Cholecystectomy and gallstone dyspepsia. Clinical and physiological study of a symptom complex.胆囊切除术与胆石性消化不良。一种症状复合体的临床与生理学研究。
Ann R Coll Surg Engl. 1975 Feb;56(2):69-80.
本文引用的文献
1
LATE RESULTS FOLLOWING CHOLECYSTECTOMY IN 1930 CASES AND SPECIAL STUDIES ON POSTOPERATIVE BILIARY DISTRESS.1930例胆囊切除术后的远期结果及术后胆绞痛的专项研究
Acta Chir Scand Suppl. 1964;325:SUPPL 329:1+.
2
Gall-bladder dyspepsia.胆囊性消化不良
Br Med J. 1963 Jul 20;2(5350):138-41. doi: 10.1136/bmj.2.5350.138.
3
Non-malignant bile duct obstruction.非恶性胆管梗阻
Ann R Coll Surg Engl. 1960 Feb;26(2):88-114.
4
Surgical indications in cholelithiasis: prophylactic choleithiasis: prophylactic cholecystectomy elucidated on the basis of long-term follow up on 526 nonoperated cases.胆石症的手术指征：预防性胆囊切除术：基于对526例非手术病例的长期随访阐明预防性胆囊切除术。
Ann Surg. 1960 Feb;151(2):153-62. doi: 10.1097/00000658-196002000-00001.
5
Further studies on the accuracy of oral cholecystography.口服胆囊造影准确性的进一步研究。
Radiology. 1960 Feb;74:239-45. doi: 10.1148/74.2.239.
6
Symptoms after cholecystectomy.胆囊切除术后的症状。
Lancet. 1958 May 3;1(7027):923-5. doi: 10.1016/s0140-6736(58)91682-9.
7
Cystic duct remnant, a sequela of incomplete cholecystectomy.胆囊管残留，不完全胆囊切除术后的后遗症。
Surg Gynecol Obstet. 1955 Sep;101(3):331-45.
8
Gall stone dyspepsia.胆石性消化不良
Br Med J. 1968 Jan 6;1(5583):32. doi: 10.1136/bmj.1.5583.32.
9
Controlled trial of metoclopramide in the treatment of flatulent dyspepsia.甲氧氯普胺治疗肠胃气胀性消化不良的对照试验。
Br Med J. 1971 Apr 3;2(5752):25-6. doi: 10.1136/bmj.2.5752.25.
10
Gallstones, gastric secretion, and flatulent dyspepsia.胆结石、胃液分泌与肠胃气胀性消化不良。
Lancet. 1967 Feb 25;1(7487):413-5. doi: 10.1016/s0140-6736(67)91176-2.
Zotero 插件