Sindrom Pasca-Kolesistektomi
DOI:
https://doi.org/10.55175/cdk.v49i10.306Keywords:
Gejala, pasca-kolesistektomi, penatalaksanaanAbstract
Tujuan umum tindakan kolesistektomi adalah menyembuhkan atau meringankan gejala yang mengganggu atau bahkan dapat mematikan. Namun pascakolesistektomi dapat timbul keluhan, dikenal sebagai sindrom pasca-kolesistektomi (SPK). Angka kejadian SPK pada kolesistektomi laparatomi antara 25% - 40% untuk gejala ringan hingga sekitar 10% untuk gejala berat. Keluhan SPK dapat terjadi setelah 2 hari hingga 25 tahun pasca-kolesistektomi. Keluhan umumnya berupa nyeri abdomen kuadran kanan atas, dengan atau tanpa nyeri alih, mirip nyeri sebelum kolesistektomi. Penatalaksanaan SPK terdiri dari intervensi bedah dan non-bedah, farmakoterapi, dan pengaturan nutrisi.
The general goal of cholecystectomy is to cure or relieve the disturbing symptoms or even lethal. However, the procedure may be complicated by postcholecystectomy syndrome (PCS). The incidence of PCS in laparoscopic cholecystectomy varies from 25% to 40% for mild symptoms to about 10% for severe symptoms. PCS can occur in 2 days to 25 years after cholecystectomy. Most patients present with right upper quadrant abdominal pain, with or without referred pain, similar to the pain experienced before cholecystectomy. The management of PCS consists of surgical and non-surgical interventions, pharmacotherapy, and nutritional management.
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References
Fenster LF, Lonborg R, Thirlby RC, Traverso LW, What symptoms does cholecystectomy cure? Insights from an outcomes measurement project and review of the literature. Am J Surg. 1995;169:533-8
Jaunoo SS, Mohandas S, Almond LM. Postcholecystectomy syndrome (PCS). Internat J Surg. 2010;8:15-7.
Lehman GA, Sherman S. Sphincter of Oddi dysfunction (postcholecystectomy syndrome). In: Yamada T, et al, editors. Textbook of gastroenterology. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003 .p. 2251- 62.
Yamada T. Textbook of gastroenterology. 2nd ed. Philadelphia: Lippincott; 1995. Ch. 104.
Zhou PH, Liu FL, Yao LQ, Qin XY. Endoscopic diagnosis and treatment of postcholecystectomy syndrome. Hepatobiliary Pancreat Dis Int. 2003;2:117–20.
Peterli R, Schuppisser JP, Herzog U, Ackermann C, Tondelli PE. Prevalence of postcholecystectomy symptoms: Long-term outcome after open versus laparoscopic cholecystectomy. World J Surg. 2000;24:1232–5.
McMahon AJ, Ross S, Baxter JN, Russel IT, Anderson JR., Morran CG, et al. Symptomatic outcome 1 year after laparoscopic and minilaparotomy cholecystectomy: A randomized trial. Br J Surg. 1995;82:1378.
Schofer JM. Biliary causes of postcholecystectomy Syndrome. J Emergency Med. 2010;39(4):406–10.
Ramadora AF. Insidensi sindrom pasca kolesistektomi (SPK) pasca laparokopik pada kolesistolitiasis simtomatis. Tesis Program Studi Ilmu Bedah FK UI: Jakarta; 2014.
Bodvall B, Overgaard B. Cystic duct remnant after cholecystectomy: Incidence studied by cholegraphy in 500 cases, and significance in 103 reoperations. Ann Surg. 1966;163:382–90.
Muller EC, Lewinski MA, Pitt HA. The cholecystosphincter of Oddi reflex. J Surg Res. 1984;36:377–83.
Webb TH, Lillemoe KD, Pitt HA. Gastrosphincter of Oddi reflex. Am J Surg. 1988;155:193–8.
Stuart R, Byrne PJ, Marks P, Lawlor P, Gorey TF, Hennessey TPJ. Extrinsic pathology alters oesophageal motility in the dog. Br J Surg. 1990;77:709.
Adrian TE, Savage AP, Bacarase-Hamilton AJ, Wolfe K, Besterman HS, Bloom SR. Peptide YY abnormalities in gastrointestinal disease. Gastroenterology 1986;90:379–84
Rogy MA, Fugger R, Herbst F, Schulz F. Reoperation after cholecystectomy. The role of the cystic duct stump. HPB Surg. 1991;4:129–35
Thurley PD, Rajpal D. Laparoscopic cholecystectomy: Postoperative imaging. AJR. 2008;191:794–801.
Tsoraides SS, Cha AI, Crawford DL. Postcholecystectomy biliary symptoms (case reports). J Surg Education 2007;64(4):228-33.
Cheon YK. How to interpret a functional or motility test - Sphincter of Oddi manometry. J Neurogastroenterol Motil. 2012;18(2):211-7.
ASGE. Sphincter of Oddi manometry. Gastrointestinal Endoscopy 2011;74(6):1175-80.
Zackria R, Lopez RA. Postcholecystectomy syndrome. Treasure Island (FL): StatPearls Publishing [Internet]. 2022 May 1. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539902/#:~:text=Introduction-,Post%2Dcholecystectomy%20syndrome%20(PCS)%20is%20the%20term%20used%20to,by%20an%20individual%20before%20cholecystectomy.
Wauters L, Ceulemans M, Lambaerts M, Accarie A, Toth J, Mols R, et al. Association between duodenal bile salts and gastric emptying in patients with functional dyspepsia. Gut 2020;0:1–2.
Jensen SW. Postcholecystectomy syndrome [Internet]. 2020 Jul 24. Available from: https://emedicine.medscape.com/article/192761-overview
Phillips MR, Joseph M, Dellon ES, Grimm I, Farrell TM, Rupp CC. Surgical and endoscopic management of remnant cystic duct lithiasis after cholecystectomy--a case
series. J Gastrointest Surg. 2014;18(7):1278-83.
Marcason W. What medical nutrition therapy guideline is recommended post-cholecystectomy? J Acad Nutr Diet. 2014;114(7):1136.
Altomare DF, Rotelli MT, Palasciano N. Diet after cholecystectomy. Curr Med Chem. 2019;26(19):3662-5.
Shin Y, Choi D, Lee KG, Choi HS, Park Y. Association between dietary intake and postlaparoscopic cholecystectomic symptoms in patients with gallbladder disease.
Korean J Intern Med. 2018;33:829-36.
Jewell TN. Gallbladder removal diet: What to eat and what to skip [Internet]. 2020 Aug 27. Available from: https://www.healthline.com/health/gallbladder-removal-diet.
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