The Role of Upper Gastrointestinal Endoscopy in Prevention of Post-Cholecystectomy Pain Prior the Elective Surgical Therapy of Chronic Cholecystitis
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- Category: Vol. 81, March 2013
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The Role of Upper Gastrointestinal Endoscopy in Prevention of Post-Cholecystectomy Pain Prior the Elective Surgical Therapy of Chronic Cholecystitis,AHMED FAISAL, ABDEL NASER GADALLAH, SEHAM A. OMAR and MAIE A.M. NAGY
Abstract
Introduction: Many upper G.I.T pathologies associated with cholecystitis such as gastritis, peptic ulcer & hiatus hernia causes of persistence of upper abdominal discomfort, dyspepsia & heartburn post cholecystectomy, so preoperative evaluation of upper GI by endoscopy may detect other co-morbidities that causes the same symptomatology in post cholecystectomy patients.
Aim of this Study: To determine the co-incidence of gallstones with upper GI problems in patients who were candidate for elective cholecystectomy and its treatment role in decreasing post cholecystectomy pain.
Patients and Methods: This is a cross sectional descriptive study that was conducted on on 92 casesof both sexes and any age, diagnosed ultra-sonographically to have chronic calcular cholecystitis, who subjected to pre-operative evalu-ation including upper GI endoscopy.
Results: Endoscopic study showed that 77.2% of the cases experienced upper GIT abnormalities as: Gastritis, esophagitis, gastro-esophageal reflux disease, peptic ulcer (gastric or duodenal) Normal GI endoscope was estimated among only 21 patients (22.8%).
Conclusion: The use of esophagogastroduodenoscopyin patients with chronic calcularcholecystitis (pre-operatively) prior to elective cholecystectomy could be clinically helpful and also may be cost effective inprevention of post cholecys-tectomy syndrome.