[Does post-cholecystectomy syndrome exist? Epidemiologic features and therapeutic effects of ursodeoxycholic acid]

Minerva Med. 1986 Oct 6;77(38):1755-62.
[Article in Italian]

Abstract

140 cholecystectomized patients were subjected to out-patient clinical follow-up (follow-up range 15.5 +/- 7.1 months) as were 45 patients given various operations on the digestive tract. The controlled study was divided into two phases: epidemiology and therapy. The results of the epidemiological trial clearly showed that in about half the cases treated cholecystectomy leaves certain problems of digestive dysfunction (dyspeptic-pain syndrome) unresolved but does not cause new symptoms. Hence there is no justification for the term "post-cholecystectomy syndrome". A double blind therapeutic trial confirmed the efficacy of UDCA in the treatment of dyspepsia in cholecystectomized patients (p = 0.03) but showed that it has little influence on the pain factor (p = 1.00).

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • English Abstract

MeSH terms

  • Cholecystectomy / adverse effects*
  • Deoxycholic Acid / analogs & derivatives*
  • Double-Blind Method
  • Dyspepsia / drug therapy*
  • Dyspepsia / etiology
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Syndrome
  • Ursodeoxycholic Acid / therapeutic use*

Substances

  • Deoxycholic Acid
  • Ursodeoxycholic Acid