Kolesistektomi Sırasında Cerrahi Tekniğin Duodenogastrik Reflü Üzerine Etkisi

Amaç: Kolesistektomiden aylar sonra bazı hastalarda dispeptik şikayetlerin olduğu literatürde belirtilmektedir. Bu durumun sebebi tam olarak ortaya konamamıştır. Daha çok duodenumdan mideye doğru olan safra kaçağına bağlanmaktadır. Bu nedenle çalışmamızda kolesistektomi sırasında uygulanan ameliyat tekniğinin ameliyat sonrası duodenogastrik reflüye sebep olup olmadığını araştırdık. Bu çalışmada laparaskopik kolesistektomi sırasında Calot üçgeni diseksiyon tipinin (yüksek diseksiyon, alçak diseksiyon) ameliyat sonrası duodenogastrik reflüye sebep olan Oddi sfinkteri yetmezliğine etkilerinin araştırılması amaçlanmıştır.

Anahtar Kelimeler:

Safra reflüsü, duodenogastrik reflü, kolesistektomi

THE EFFECT OF SURGICAL TECHNIQUE ON DUODENOGASTRIC REFLUX AFTER CHOLECYSTECTOMY

Objective: It is stated in the literature that some patients have dyspeptic complaints after months from cholecystectomy. The reason for this situation has not been established. It is more often attributed to the bile leakage from the duodenum to the stomach. Therefore, in our study we investigated whether the surgical technique applied during cholecystectomy caused postoperative duodenogastric reflux. In this study, it was aimed to investigate the effects of Calot's triangle dissection type (high dissection, low dissection) on post-operative duodenogastric reflux due to Oddi’s sphincter dysfunction during laparoscopic cholecystectomy.

Keywords:

Bile reflux, duodenogastric reflux, cholecystectomy,

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