Frequency Of Cholecystectomy and Investigation of Related Factors ın Asymptomatic Gallstones

Abstract

ABSTRACT Purpose: While cholecystectomy is recommended for the treatment of symptomatic gallstones in current guidelines, surgery is not recommended in asymptomatic cases. In this study, we aimed to investigate the frequency of cholecystectomy and the factors affecting the approach to asymptomatic gallstones in clinical practice. Material and Methods: This study was designed as a prospective survey study. In this study, cases who had undergone cholecystectomy for gallstones in the past were evaluated. The survey was administered by face-to-face interview method and each patient was asked questions about surgical indication, medical information and symptoms. Results: In this study (n=212); 75 (35.4%) cases had asymptomatic gallstones and were operated on for prophylactic purposes; 137 (64.6%) cases were found to have been operated on due to certain indications (presence of dyspeptic symptoms, acute cholecystitis, porcelain gallbladder, etc.). In the surgical decision with inappropriate indication; it was observed that the departments of general surgery (64%), internal medicine (29.3%) and gastroenterology (4%) played a role. However, in some of the cases; it was found that dyspeptic complaints such as abdominal pain, bloating, nausea and epigastric burning continued after the surgery. Conclusion: Today, inappropriate surgical treatment in asymptomatic gallstones is common, and approximately one out of every three patients is decided to undergo surgery. Therefore, it is considered that the medical and legal adverse situations that may occur can be prevented by reconsidering the issue by the relevant fields of speciality.

Keywords

• acute cholecystitis
• asymptomatic gallstones
• cholecystectomy