Analysis of the relationship between the postgastrectomy cholelithiasis and gastrectomy

VernacularTitle:胃切除与术后胆石症的关系探讨
Author: Xi FANG ; Chudong CAI ; Ying LI ; Junshuo ZHANG
Publication Type:Journal Article
Keywords: Gastrectomy; Cholelithiasis; Risk factor
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(7):1223-1224
CountryChina
Language:Chinese
Abstract: Objective To explore the factors for the development of gallstones after gastrectomy. Methods 52 cases of patients with postgastrectumy,were retrospectively analyzed according to their diseases for gastrectomy and operation form. Results Incidence of gallstone in patients of postgastrectomy was higher than in general population. Among which, Billroth Ⅱ type of gastrectomy for carcinoma was the highest (35.5%), then the total gastrectomy (31.5%) and proximate gastrectomy(13.5%). Billroth Ⅰ type operation was 10.3%. Incidence of gallstone in pa-tients of selective vagotomy was lowest (2.5%). Condusion Billroth Ⅱ type of gastrectomy and total gastrectomy were the risk factors of postgastrectomy cholelithiasis. The causes for gallstone formation after Billroth Ⅱ type of gas-trectomy were the restitution of digestive canal and metabolic disorder of bile acid.