Süleyman ÇETİNKÜNAR, Serhat TOKGÖZ, Mehmet TOKAÇ, B. Çağlar BİLGİN, Köksal BİLGEN, Bahadır CELEP, Oğuz HASDEMİR, Mesut ATLI

ASEMPTOMATİK SAFRA KESESİ TAŞI OLAN HASTALARDA LAPAROSKOPİK KOLESİSTEKTOMİNİN GASTROİNTESTİNAL HAYAT KALİTESİ ÜZERİNE ETKİSİ

AMAÇ:Bu çalışmada asemptomatik kolelitiyazis olgularının ameliyat öncesi ve ameliyat sonrası hayat kalitesideğerlendirilmiştir.GEREÇ ve YÖNTEM:Hastaların ameliyat öncesi ve sonrası hayat kalitelerinin ölçümü gastrointestinal hayatkalitesi indeksi parametreleri kullanılarak belirlenmiştir.BULGULAR:Çalışmaya alınan 71 hasta ameliyat öncesi ve ameliyattan en az 3 ay sonra gastrointestinal hayatkalitesi indeksine göre sorgulanmıştır. Preoperatif dönemde ortalama skor 126.8±14.07, 3 ay sonra yapılansorgulamada ise ortalama 136.6±9.31 olup normal populasyona yakın bir oranda saptanmıştır. (toplam skor 144).Gastrointestinal semptomlarının yanı sıra fiziksel, sosyal ve duygusal durumlarında da anlamlı düzelmegözlenmiştir. Düşük skorlu hastalarda bu iyileşme daha belirgindir.SONUÇ:Asemptomatik kolelitiyazisli hastalarda başka gastrointestinal patolojilerle açıklanamayannonspesifik semptomların laparoskopik kolesistektomiyle iyileşme gösterdiği, hastaların hayat kalitelerindeanlamlı bir artış olduğu görülmektedir

Anahtar Kelimeler:

Kolelitiyasis, asemptomatik safra taşı, laparoskopik kolesistektomi, gastrointestinal hayatkalitesi

Gastrointestinal Quality of Life in Patients with Asymptomatic Cholelithiasis After Laparoscopic Cholecystectomy

OBJECTIVE: To assess the outcome of laparoscopic cholecystectomy for asymptomatic cholelithiasis before and after laparoscopic cholecystectomy using a specific quality of life instrument for gastrointestinal disorders in adults. MATERIALS and METHODS: The Gastrointestinal Quality of Life Index (GIQLI) was studied before and after laparoscopic cholecystectomy. RESULTS: Seventy one patients completed the GIQLI questionnaire both preoperatively and after a minimum postoperative follow-up of three months. Mean preoperative score was 126.8±14.07 out of a theoretical maximum score of 144. After three months, the score had significantly improved to 136.6±9.31, close to the range for the normal population. Not only items assessing gastrointestinal symptoms but also the domains of physical, social, and emotional function improved significantly. The most marked improvements were achieved in patients with the lowest preoperative scores. CONCLUSION: Laparoscopic cholecystectomy significantly improves the quality of life in patients with cholelithiasis who are asymptomatic or have nonspecific gastrointestinal symptoms that cannot be explained by another gastrointestinal pathology.

Keywords:

Cholelithiasis, gallstone, laparoscopic cholecystectomy, gastrointestinal quality of life index,

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