What are the risks of cholecystectomy?
Feb 12, 2023
Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
Possible risks of cholecystectomy include indigestion and diarrhea, bile reflux, and an increased incidence of common bile duct stones. Patients should pay attention to their diet during the first two months after surgery; inappropriate eating may lead to indigestion. After cholecystectomy, patients may experience heartburn and stomach discomfort. There is also a possibility of developing common bile duct stones again after surgery.
Potential risks of cholecystectomy include indigestion and diarrhea, bile reflux, and a higher incidence of common bile duct stones.
1. Indigestion and Diarrhea
Diet should be carefully managed within the first two months after surgery. Inappropriate eating may lead to indigestion. Overeating or consuming excessive fat can result in fatty diarrhea. After more than two months, the biliary or gastrointestinal system usually achieves adequate compensation, leading to significant improvement in symptoms.
2. Bile Reflux
After cholecystectomy, patients may experience heartburn and gastric discomfort due to bile flowing back into the stomach. The alkaline bile can damage the gastric mucosa. Treatment under medical guidance with medications that protect the gastrointestinal mucosa—such as hydrotalcite chewable tablets, omeprazole tablets, and domperidone tablets—is recommended.
3. Higher Incidence of Common Bile Duct Stones
Common bile duct stones may recur after cholecystectomy. It is advisable to avoid high-fat diets, eat small frequent meals, and maintain regular physical activity following surgery.
In addition, after gallbladder removal, continuous bile secretion increases the conversion of primary bile acids into secondary bile acids. Secondary bile acids are carcinogenic; prolonged exposure of the rectum, colon, and other areas to these acids may increase the risk of malignant diseases.
