Background: There is an ongoing need, from both the medical and the economic perspective, for a more accurate definition of the influence of symptomatic or asymptomatic gallstone disease on gastrointestinal symptomatology, as well as on the health of the individual in general. Methods: Using the Gastrointestinal Quality of Life Index (GIQLI), 37 symptomatic and 30 asymptomatic gallstone patients were evaluated at admission to the hospital and again 4 months after undergoing an uneventful laparoscopic cholecystectomy (LC). Results: Postoperatively, significant increases in the total GIQLI score were noted in both the symptomatic group (113.42 ± 21.9 vs 80.32 ± 19.1 preoperatively; p < 0.05) and the asymptomatic group (96.37 ± 14.26 vs 113.30 ± 15.22; p < 0.05). For the subgroups of items, the core symptoms and the physical, psychological, and disease-specific items improved significantly in both groups in the postoperative period (p < 0.05 for all comparisons), but only the symptomatic group achieved a significant improvement in the subgroup of social items (p < 0.05). Negative correlations were found in both the symptomatic and asymptomatic groups between the preoperative GIQLI scores and the improvement seen after LC (r = -0.70 and r = -0.49, respectively). Conclusion: Gallstone disease has a profoundly negative impact on quality of life, especially in symptomatic patients with a history of biliary colic attacks and/or the complications of the disease. Although the condition is not equally distressing for the asymptomatic group of patients without such a history, uncomplicated LC improves the quality of life significantly in both groups. Gallstone patients with lower GIQLI scores are more likely to benefit from LC.
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Similar content being viewed by others Explore related subjectsDiscover the latest articles and news from researchers in related subjects, suggested using machine learning. Author information Authors and AffiliationsDepartment of Surgery, Gazi University Medical School, 67 Sok. 16/7 Emek, 06510 Ankara, Turkey, TR
B. Bülent Mentes, M. Akin, O. Irkörücü, E. Tatliciolu & Z. Ferahköe
Department Public Health, Gazi University Medical School, Ankara, Turkey, TR
A. Yildinm & I. Maral
Bülent Mentes, B., Akin, M., Irkörücü, O. et al. Gastrointestinal quality of life in patients with symptomatic or asymptomatic cholelithiasis before and after laparoscopic cholecystectomy. Surg Endosc 15, 1267–1272 (2001). https://doi.org/10.1007/s00464-001-9015-8
Received: 17 January 2001
Accepted: 26 April 2001
Published: 04 September 2001
Issue Date: November 2001
DOI: https://doi.org/10.1007/s00464-001-9015-8
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