Diet After Cholecystectomy

Author(s): Donato F. Altomare*, Maria T. Rotelli, Nicola Palasciano.

Journal Name: Current Medicinal Chemistry

Volume 26 , Issue 19 , 2019

  Journal Home
Translate in Chinese

Abstract:

Patients with gallstones are often affected by alimentary disorders contributing to the onset of gallstones disease. Cholecystectomy can have nutritional and metabolic consequences in the short-term (diarrhea, abdominal pain and bloating) and in the long-term (increased Body Mass Index with metabolic syndrome, gastritis, liposoluble vitamin deficiency). Pathogenic mechanisms behind these disturbances are reviewed and the need for an early post-operative nutritional intervention based on low-lipid, high-fibers diet, is highlighted.

Keywords: Post-cholecystectomy syndrome, biliary acids, diarrhea, hypo-lipid diet, gallstones disease, cholecystitis.

[1]
Portincasa, P.; Ciaula, A.D.; Bonfrate, L.; Wang, D.Q. Therapy of gallstone disease: What it was, what it is, what it will be. World J. Gastrointest. Pharmacol. Ther., 2012, 3(2), 7-20.
[http://dx.doi.org/10.4292/wjgpt.v3.i2.7] [PMID: 22577615]
[2]
Bagla, P.; Sarria, J.C.; Riall, T.S. Management of acute cholecystitis. Curr. Opin. Infect. Dis., 2016, 29(5), 508-513.
[http://dx.doi.org/10.1097/QCO.0000000000000297] [PMID: 27429137]
[3]
Pulvirenti, E.; Toro, A.; Gagner, M.; Mannino, M.; Di Carlo, I. Increased rate of cholecystectomies performed with doubtful or no indications after laparoscopy introduction: a single center experience. BMC Surg., 2013, 13, 17.
[http://dx.doi.org/10.1186/1471-2482-13-17] [PMID: 23724992]
[4]
Huang, W.; Ma, K.; Zhang, J.; Qatanani, M.; Cuvillier, J.; Liu, J.; Dong, B.; Huang, X.; Moore, D.D. Nuclear receptor-dependent bile acid signaling is required for normal liver regeneration. Science, 2006, 312(5771), 233-236.
[http://dx.doi.org/10.1126/science.1121435] [PMID: 16614213]
[5]
Taoka, H.; Yokoyama, Y.; Morimoto, K.; Kitamura, N.; Tanigaki, T.; Takashina, Y.; Tsubota, K.; Watanabe, M. Role of bile acids in the regulation of the metabolic pathways. World J. Diabetes, 2016, 7(13), 260-270.
[http://dx.doi.org/10.4239/wjd.v7.i13.260] [PMID: 27433295]
[6]
Ridlon, J.M.; Kang, D.J.; Hylemon, P.B.; Bajaj, J.S. Bile acids and the gut microbiome. Curr. Opin. Gastroenterol., 2014, 30(3), 332-338.
[http://dx.doi.org/10.1097/MOG.0000000000000057] [PMID: 24625896]
[7]
Housset, C.; Chrétien, Y.; Debray, D.; Chignard, N. Functions of the Gallbladder. Compr. Physiol., 2016, 6(3), 1549-1577.
[http://dx.doi.org/10.1002/cphy.c150050] [PMID: 27347902]
[8]
Sagar, N.M.; Cree, I.A.; Covington, J.A.; Arasaradnam, R.P. The interplay of the gut microbiome, bile acids, and volatile organic compounds. Gastroenterol. Res. Pract., 2015.2015398585
[http://dx.doi.org/10.1155/2015/398585] [PMID: 25821460]
[9]
Ioannou, G.N. Cholelithiasis, cholecystectomy, and liver disease. Am. J. Gastroenterol., 2010, 105(6), 1364-1373.
[http://dx.doi.org/10.1038/ajg.2009.737] [PMID: 20068558]
[10]
Ruhl, C.E.; Everhart, J.E. Relationship of non-alcoholic fatty liver disease with cholecystectomy in the US population. Am. J. Gastroenterol., 2013, 108(6), 952-958.
[http://dx.doi.org/10.1038/ajg.2013.70] [PMID: 23545713]
[11]
Shen, C.; Wu, X.; Xu, C.; Yu, C.; Chen, P.; Li, Y. Association of cholecystectomy with metabolic syndrome in a Chinese population. PLoS One, 2014, 9(2)e88189
[http://dx.doi.org/10.1371/journal.pone.0088189] [PMID: 24505425]
[12]
Riccardi, Pacione; Giacco, Rivellese Colecistectomia In: Manuale di nutrizione clinica; Sorbona, Ed, 2009; pp. 317-318.
[13]
Yueh, T.P.; Chen, F.Y.; Lin, T.E.; Chuang, M.T. Diarrhea after laparoscopic cholecystectomy: associated factors and predictors. Asian J. Surg., 2014, 37(4), 171-177.
[http://dx.doi.org/10.1016/j.asjsur.2014.01.008] [PMID: 24647139]
[14]
Yazdankhah Kenary, A.; Yaghoobi Notash, A., Jr; Nazari, M.; Yaghoobi Notash, A.; Borjian, A.; Afshin, N.; Khashayar, P.; Ahmadi Amoli, H.; Morteza, A. Measuring the rate of weight gain and the influential role of diet in patients undergoing elective laparoscopic cholecystectomy: a 6-month follow-up study. Int. J. Food Sci. Nutr., 2012, 63(6), 645-648.
[http://dx.doi.org/10.3109/09637486.2011.644767] [PMID: 22229881]
[15]
Ali, R.B.; Cahill, R.A.; Watson, R.G. Weight gain after laparoscopic cholecystectomy. Ir. J. Med. Sci., 2004, 173(1), 9-12.
[http://dx.doi.org/10.1007/BF02914515] [PMID: 15732228]
[16]
van der Heide, F. Acquired causes of intestinal malabsorption. Best Pract. Res. Clin. Gastroenterol., 2016, 30(2), 213-224.
[http://dx.doi.org/10.1016/j.bpg.2016.03.001] [PMID: 27086886]
[17]
Fort, J.M.; Azpiroz, F.; Casellas, F.; Andreu, J.; Malagelada, J.R. Bowel habit after cholecystectomy: physiological changes and clinical implications. Gastroenterology, 1996, 111(3), 617-622.
[http://dx.doi.org/10.1053/gast.1996.v111.pm8780565] [PMID: 8780565]
[18]
Evaluation of an algorithm for the treatment of persistent diarrhoea: a multicentre study. Bull. World Health Organ., 1996, 74(5), 479-489.
[PMID: 9002328]
[19]
Giannattasio, A.; Guarino, A.; Lo Vecchio, A. Management of children with prolonged diarrhea. F1000Res, 2016. F1000 Faculty Rev-206
[20]
Marcason, W. What medical nutrition therapy guideline is recommended post-cholecystectomy? J. Acad. Nutr. Diet., 2014, 114(7), 1136.
[http://dx.doi.org/10.1016/j.jand.2014.05.009] [PMID: 24956996]
[21]
Schiller, L.R.; Pardi, D.S.; Sellin, J.H. Chronic Diarrhea: Diagnosis and Management. Clin. Gastroenterol. Hepatol., 2017, 15(2), 182-193.e3.
[http://dx.doi.org/0.1016/j.cgh.2016.07.028] [PMID: 27496381]
[22]
Godos, J.; Zappalà, G.; Bernardini, S.; Giambini, I.; Bes-Rastrollo, M.; Martinez-Gonzalez, M. Adherence to the Mediterranean diet is inversely associated with metabolic syndrome occurrence: a meta-analysis of observational studies. Int. J. Food Sci. Nutr., 2017, 68(2), 38-148.
[http://dx.doi.org/10.1080/09637486.2016.1221900] [PMID: 27557591]


Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 26
ISSUE: 19
Year: 2019
Page: [3662 - 3665]
Pages: 4
DOI: 10.2174/0929867324666170518100053
Price: $58

Article Metrics

PDF: 41
HTML: 3