Matches in SemOpenAlex for { <https://semopenalex.org/work/W4230484565> ?p ?o ?g. }
Showing items 1 to 68 of
68
with 100 items per page.
- W4230484565 endingPage "A353" @default.
- W4230484565 startingPage "A353.2" @default.
- W4230484565 abstract "<h3>Introduction</h3> Up to 20% of patients undergoing cholecystectomy continue to experience symptoms. We consider such results unacceptably high and in need of further evaluation. Our aim was to identify the biliary symptoms for which cholecystectomy was carried out and then determine the prevalence and the nature of persistent symptoms following the procedure in a cohort of 500 consecutive cases. <h3>Methods</h3> A validated pre-operative symptoms survey was completed at the time of listing of 500 consecutive laparoscopic cholecystectomies (LC), followed by a follow-up phone survey 12 weeks after the procedure to record the nature, severity and frequency of symptoms experienced pre- and post-operatively. A detailed clinical profiling was carried out on all patients with persistent biliary symptoms. <h3>Results</h3> All patients had at least two symptoms pre-operatively and 337 (67.4%) had three or more. The most common symptoms pre-operatively were abdominal pain (93.8%), nausea (65.8%), pain related to food (54.4%) and bloating (48.6%). A total of 90 patients were symptomatic postoperatively. 81 patients (16.2%) complained of abdominal pain, while 63 (12.6%) patients also experienced associated dyspeptic symptoms. Seventy three patients (14.6%) developed one or more new symptoms post-operatively, the most common being heartburn found in 34 (6.8%) and abdominal bloating in 29 (5.8%). 60 patients underwent further investigation following LC; 36 patients went on to have a secondary diagnosis made, the most common (13/36) being hiatus hernia, seven patients were found to have a retained common bile duct stone. Overall, there was no significant difference in histology among patients post-operatively. <h3>Conclusion</h3> A significant number of patients continue to experience symptoms following laparoscopic cholecystectomy. In patients where pain was the most troublesome symptom preoperatively, significant symptomatic improvement was noted. Similarly, those patients that experienced symptoms more dyspeptic in nature preoperatively were less likely to be symptom free following LC. A careful biliary history, a focused physical examination and a thorough pre-operative assessment must be carried out prior to LC to rule out conditions that masquerade as gallbladder disease. <h3>Competing interests</h3> None declared." @default.
- W4230484565 created "2022-05-11" @default.
- W4230484565 creator A5004330809 @default.
- W4230484565 creator A5027547036 @default.
- W4230484565 creator A5064795290 @default.
- W4230484565 date "2012-05-28" @default.
- W4230484565 modified "2023-09-27" @default.
- W4230484565 title "PWE-140 Persistent symptoms following cholecystectomy is unacceptably high and in need of further evaluation" @default.
- W4230484565 doi "https://doi.org/10.1136/gutjnl-2012-302514d.140" @default.
- W4230484565 hasPublicationYear "2012" @default.
- W4230484565 type Work @default.
- W4230484565 citedByCount "0" @default.
- W4230484565 crossrefType "journal-article" @default.
- W4230484565 hasAuthorship W4230484565A5004330809 @default.
- W4230484565 hasAuthorship W4230484565A5027547036 @default.
- W4230484565 hasAuthorship W4230484565A5064795290 @default.
- W4230484565 hasBestOaLocation W42304845651 @default.
- W4230484565 hasConcept C126322002 @default.
- W4230484565 hasConcept C141071460 @default.
- W4230484565 hasConcept C2775913212 @default.
- W4230484565 hasConcept C2776462128 @default.
- W4230484565 hasConcept C2776641081 @default.
- W4230484565 hasConcept C2776956441 @default.
- W4230484565 hasConcept C2778197217 @default.
- W4230484565 hasConcept C2779134260 @default.
- W4230484565 hasConcept C2780580376 @default.
- W4230484565 hasConcept C2780955771 @default.
- W4230484565 hasConcept C2780970735 @default.
- W4230484565 hasConcept C43270747 @default.
- W4230484565 hasConcept C61434518 @default.
- W4230484565 hasConcept C71924100 @default.
- W4230484565 hasConcept C72563966 @default.
- W4230484565 hasConceptScore W4230484565C126322002 @default.
- W4230484565 hasConceptScore W4230484565C141071460 @default.
- W4230484565 hasConceptScore W4230484565C2775913212 @default.
- W4230484565 hasConceptScore W4230484565C2776462128 @default.
- W4230484565 hasConceptScore W4230484565C2776641081 @default.
- W4230484565 hasConceptScore W4230484565C2776956441 @default.
- W4230484565 hasConceptScore W4230484565C2778197217 @default.
- W4230484565 hasConceptScore W4230484565C2779134260 @default.
- W4230484565 hasConceptScore W4230484565C2780580376 @default.
- W4230484565 hasConceptScore W4230484565C2780955771 @default.
- W4230484565 hasConceptScore W4230484565C2780970735 @default.
- W4230484565 hasConceptScore W4230484565C43270747 @default.
- W4230484565 hasConceptScore W4230484565C61434518 @default.
- W4230484565 hasConceptScore W4230484565C71924100 @default.
- W4230484565 hasConceptScore W4230484565C72563966 @default.
- W4230484565 hasIssue "Suppl 2" @default.
- W4230484565 hasLocation W42304845651 @default.
- W4230484565 hasLocation W42304845652 @default.
- W4230484565 hasOpenAccess W4230484565 @default.
- W4230484565 hasPrimaryLocation W42304845651 @default.
- W4230484565 hasRelatedWork W130434534 @default.
- W4230484565 hasRelatedWork W1561272515 @default.
- W4230484565 hasRelatedWork W1592522958 @default.
- W4230484565 hasRelatedWork W2188703117 @default.
- W4230484565 hasRelatedWork W2330219373 @default.
- W4230484565 hasRelatedWork W2387293784 @default.
- W4230484565 hasRelatedWork W3113187916 @default.
- W4230484565 hasRelatedWork W4230484565 @default.
- W4230484565 hasRelatedWork W2948817574 @default.
- W4230484565 hasRelatedWork W2993112417 @default.
- W4230484565 hasVolume "61" @default.
- W4230484565 isParatext "false" @default.
- W4230484565 isRetracted "false" @default.
- W4230484565 workType "article" @default.