THE EFFECTS OF CHOLELITHIASIS AND CHOLECYTECTOMY ON GASTRIC EMPTYING
FERDA KÖKSOY1, YALÇIN AKER1, TÜRKER BULUT2, HAKKI KÖSE1, ORHAN YALÇIN1, GÜRSEL SOYBİR1
1İstanbul Taksim Hastanesi 1. Cerrahi Kliniği, İSTANBUL,
2İstanbul Üniversitesi Çapa Tıp Fakültesi, Genel Cerrahi Kliniği, İSTANBUL
Abstract
In this prospective, clinical study, four groups, each consisting of 12 patients are established to determine how gastric emptying is influenced in Cholelithiasis with accompanied fiatulent dyspepsia and the relationship of symptoms and gastric emptying after cholecystectomy. I. group: Healthy people, 2.group: Patients with dyspeptic cholelithiasis, 3.group: Patients who have no dyspepsia after chotecystectomy, 4.group: Patients whose dyspepsia continue after cholecystectomy. Groups are compared according to solid phase gastric emptying scintigraphics performed with Tc 99m sulphur colloid binded with scrambled eggs.
Gastric emptying delayed in second (p<0.001) and fourth (p<0.005) groups postprandialty and not differed in the third group (p>0.005). These results demonstrate that dyspepsia, in cholelithiasis and persisting after cholecystectomy have a close relation with delay in gastric emptying.