Kıymet ÖZTEPE, İkbal ÇAVDAR, Nihat AKSAKAL

LAPAROSKOPİK KOLESİSTEKTOMİ SONRASIBESLENMEDE DEĞİŞİMİN DEĞERLENDİRİLMESİ

Bu prospektif tanımlayıcı çalışma, laparoskopik kolesistektomi yapılan hastaların değişen beslenme alışkanlıklarını değerlendirmek amacıyla yapıldı. Çalışma Aralık 2019-Mayıs 2021 tarihleri arasında 76 hasta üzerinde gerçekleştirilmiştir. Veriler, ameliyattan üç ay sonar hastalarla telefonla görüşülerek ‘Beslenme Alışkanlığı Tanılama Formu’ kullanılarak toplanmıştır. Laparoskopik kolesistektomi sonrası beslenme alışkanlıklarını yaş ve cinsiyet faktörlerinin etkilediği saptanırken, kadın hastalarda ve aktif çalışanlarda beslenmeye bağlı semptomların gelişme oranı istatistiksel olarak anlamlı farklılık gösterdi. İlk beslenmede, ishali olan hastalarda belirgin olarak daha fazla semptom görülürken, düzenli yaşayan hastalarda belirgin olarak daha az semptom görüldü. İşlenmiş et ürünleri, tam yağlı peynir, soğan, mısır-bezelye gibi sebzeler, portakal gibi meyveler, aperitif yiyecekler, mayonez-krema gibi soslar, kızarmış yağlı yiyeceklerin tüketimi ile semptomların arttığı bulundu. Çalışma, hastaların ameliyat öncesi beslenme alışkanlıklarının sorgulanmasının, hemşirelerin ameliyat sonrası diyetleri ve semptom gelişimini artıran riskli besinler konusunda eğitim vermelerinin önemli olduğunu göstermiştir.

Anahtar Kelimeler:

Beslenmenin değerlendirilmesi, kolesistektomi, laparoskopi, safrataşı

EVALUATION OF CHANGE IN NUTRITION AFTER LAPAROSCOPIC CHOLECYSTECTOMY

This prospective descriptive study was conducted to evaluate the changing nutritional habits of the patients who underwent laparoscopic cholecystectomy. The study was carried out on 76 patients between December 2019 and May 2021. The data were collected using Nutritional Habit Diagnosis Form by inter viewing the patients three months after surgery by telephone. While age and gender factors were found to affect nutritional habits after laparoscopic cholecystectomy, the rate of development of symptoms related to nutrition was statistically significant in female patients and active workers. At the first nutrition, patients with diarrhea had significantly more symptoms, while patients who lived regularly had significantly fewer symptoms. It was found that the symptoms increased with the consumption of processed meat products, full-fatcheese, vegetables such as onions, corn-peas, fruits such as oranges, snack foods, sauces such as mayonnaise-cream, and fried fatty foods. The study has demon strated that it is important to question patients’ preoperative nutritional habits and to provide training by nurses on their postoperative diet and risky foods that increase symptom development.

Keywords:

nutrition assessment, cholecystectomy, laparoscopy, gallstones,

PDF

___

Katar MK, Ersoy PE. Yasli popülasyonunda laparoskopik kolesistektomi sonuclarimiz. Hitit Tip Dergisi, Turk Hapatopankreatobilyer Cerrahi Dernegi 2020; 27-29.
Akinci H. Laparoscopic gallbladder-preserving surgery: case report. Laparosc Endosc Surg Sci2019; 26(1): 32-35.
Torer N, Nursal TZ, Calıskan K, et al. Surgically repaired severe post-cholecystectomy complications and their management. Turkish Journal of Surgery 2009;25(2):62-67.
Catal O, Ozer B, Sit M, et al. Evaluation of patients diagnosed with incidental gallbladder cancers after cholecystectomy. Haseki Tip Bulteni 2019;57(2):191-194.
Kirik A, Yekdes AC, Ergun U, Alp B, Ak MN, Dogru T. Frequency of cholecystectomy and investigation of related factors in asymptomatic gallstones. Ahi Evran Med J 2021;5(1):3-7.
Marcason W. What medical nutrition therapy guideline is recommended post-cholecystectomy? Journal of the Academy of Nutrition and Dietetics 2014;114(7):1136.
Zengin Cakir HK, Dal Yilmaz U. Determination of information needs of pre-discharge patients on laparoscopic cholecystectomy. Turkiye Klinikleri Journal of Nursing Science 2018;10(2):115-121.
Altomare DF, Rotelli MT, Palasciano N. Diet after cholecystectomy. Current Medicinal Chemistry 2019;26(19): 3662-3665.
Kenary AY, Notash AY, Nazari M, et al. Measuring the rate of weight gain and the influential role of diet in patients undergoing elective laparoscopic cholecystectomy: a 6-month follow-up study. International Journal of Food Sciences and Nutrition 2012;63(6): 645-648.
Ozyel B, Malyali N. Importance of dietary consultation after cholecystectomy: pre-and post-cholecystectomy nutritional status, dietary habits and anthropometric measures of patients. Proceedings of the Nutrition Society 2020;79(OCE1):E11.
Yalcintas EB. Analysis of nutritional status of patients with cholelithiasis and some biochemical symptoms. (Master’s thesis) Hacettepe University Institute of Health Sciences, Dietetics Programme 2017;pp. 4-96.
Moran SH, Gutierraz ED, Moran S, et al. Recreational physical activity is inversely associated with asymptomatic gallstones in adult Mexican women. Annals of Hepatology 2014;13(6):810-818.
Yuksel A. Cholelithiasis nutritional relationship and dietary principles. Retrived from:http://guncel.tgv.org.tr/journal/67/pdf/100487.pdf, 2016;20(3):327-330.
Ates B, Unal I. Cholecystitis, gallstones, risk factors and relationship with nutrition. Retrived fromhttp://guncel.tgv.org.tr/journal/67/pdf/100485.pdf, 2016;20(3):317-321.
Rudasill SE, Morales RR, Sanaiha Y, et al. Predicting morbidity and mortality in laparoscopic cholecystectomy: Preoperative serum albumin still matters. The American Journal of Surgery 2020;220(2):432-437.
Medetbekov TA, Nassyrova NB, Abdussemyatova AA, et al. Features of laparoscopic cholecystectomy in special groups of patients 2022;3(2):51-59.
Carannante F, Mazzotta E, Miacci V, et al. Identification and management of subvesical bile duct leakage after laparoscopic cholecystectomy: A systematic review. Asian Journal of Surgery 2023; 1-8.
Goral V. Gallstone etiopathogenesis, LITH and MUCIN genes and treatment. Retrived fromhttp://guncel.tgv.org.tr/journal/64/pdf/100432.pdf, 2015;19(4):285-294.
Jessri M, Rashidkhani B. Dietary patterns and risk of gallbadderdiseaase: a hospital-based case- control study in adult women. Journal Health Population 2015;33(1):39-49.
Hayat S, Hassan Z, Changazi SH, et al. Comparative analysis of serum lipid profiles in patients with and without gallstones: A prospective cross-sectional study. Annals of Medicine and Surgery 2019;42:11-13.
Gutt A, Schlafer S, Lammert F. The Treatment of gallstone disease. DeutschesArzteblatt International 2020;117(9):148-158.
Moghaddam AA, Khorram A, Miri-Bonjar M, et al. The prevalence and risk factors of gallstone among adults in South-East of Iran: a population-based study. Global Journal of Health Science 2016;8(4):60-67.
Jindal N, Singh G, Ali I, et al. Effect of cholelithiasis and cholecystectomy on serum lipids and blood glucose parameters. Archieves of International Surgery 2013;3(2):97-101.
Di Ciaula A, Garruti G, Frühbeck G, et al. The role of diet in the pathogenesis of cholesterol gallstones. Current medicinal chemistry 2019;26(19):3620-3638.
Ramard AR, Merat S, Kooraki S, et al. Gallstone disease and obesity: a population-based study on abdominal fat distribution and gender differences. Annals of Hepatology 2015;14(5):702-709.
Stender S, Nordestgaard BG, Hansen AT. Elevated body mass index as a casual risk factor for symptomatic gallstone disease: a mendelian ranzomization study. Hepatology 2013;58(6):2133-2214.
Oner C, Guneri MC. Lipid profiles of patients with gallstones. TAHUD 2012;16(3):123-126.
Kosar K, Duran C, Oktar SF. The frequency of gallbladder stones in patients with cirrhosis. Ege Tıp Bilimleri Dergisi 2019; 2(3):97-100.
Ozsoy M, Celep B, Ersen O, et al. The coexistence of gallstones and the metabolic sendromınaround Afyonkarahisar. ODÜ Tıp Dergisi 2016;3(2):47-51.
Aksoy G, Kanan N. Surgical diseases and care of the metabolic and endocrine system. In: Akyolcu, N., Kanan, N., Aksoy, G. (Eds.), Surgery Nursing 2. Nobel Medical Bookstores, Istanbul 2017;pp. 287-290.
Kriska AM, Brach JS, Jarvis BJ, et al. Physical activity and gallbladder disease determined by ultrasonography. Medical Science Sports Exercise2007;39(11):1927-1932. 32. Shaffer EA. Epidemiology of gallbladder stone disease. Best Practice & Research Clinical Gastroenterology 2006;20:981-996.
Shaffer EA. Epidemiology of gallbladder stone disease. Best Practice & Research Clinical Gastroenterology 2006;20:981-996.
Ozden H. Incidence of gallbladder carcinoma in our cholecystectomy patients.Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 2021;23(1):6-10.
Ribas Blasco Y, Pe´ rez Mun˜ ante M, Go´mez-Ferna´ndez L, et al. Low-fat diet after cholecystectomy: should it be systematically recommended? Cir Esp 2020;98:36-42.
Lublin M, Crawford DL, Hiatt JR, Phillips EH. Symptoms before and after laparoscopic cholecystectomy for gallstones. Am Surg. 2004;70:863-866.
Lamberts MP, Lugtenberg M, Rovers MM, Roukema AJ, Drenth JP, Westert GP, et al. Persistent and de novo symptoms after cholecystectomy: a systematic review of cholecystectomy effectiveness. Surg Endosc 2013;27:709-718.
Yueh TP, Chen FY, Lin TE et al. Diarrhea after laparoscopic cholecystectomy: associated factors and predictors. Asian Journal of Surgery 2014;37(4):171-177.
Ucuzal M, Aldanmaz N. Postoperative constipation risk in general surgery patients. Journal of Inonu University Health Services Vocational School 2015;4(2):17-22.
Shin Y, Choi D, Lee KG, et al. Association between dietary intake and post laparoscopic cholecystectomic symptoms in patients with gallbladder disease. Korean Journal of Internal Medicine 2018;33(4):829-836.
Carvalho RV, Lorena SL, Almeida JR, et al. Food intolerance, diet composition, and eating patterns in functional dyspepsia patients. Digestive Disease Science 2010;55(1):60-5.
Benini L, Sembenini C, Salandini L, et al. Gastric emptying of realistic meals with and without gluten in patients with coeliac disease: effect of jejunal mucosal recovery. Scandinavian Journal of Gastroenterology 2001;36:1044-1048.
Ruhl CE, Everhart JE. Relationship of non-alcoholic fatty liver disease with cholecystectomy in the US population. American Journal of Gastroenterology 2013;108(6):952-958.
Chandran AP, Sivarajan R, Srinivasan V, et al. Risk profile for gallstone disease in Southern Indian population: is there anything new? Indian Journal of Gastroenterology 2014;33(3):254-257.
Keskin U, Calıskan K. Sublimation of sedentary life style: an evaluation on Tuncay Akgun's humorous perspective. Journal of Bitlis Eren University Institute of Social Sciences 2017;6(2):503-518.
Can S.Sedentary behavior, number of steps and health. Turkish Journal of Sports Medicine 2019;54(1):71-82.
Leitzmann MF, Giovannucci EL, Rimm EB, et al. The relation of physical activity to risk for symptomatic gallstone disease in men. Annals Internal Medicine 1998;128(6):417-425.