Influence of the method of digestive tract reconstruction on gallstone development after total gastrectomy for gastric cancer

Francesco Pezzolla, Giulio Lantone, Vito Guerra, Giovanni Misciagna, Fernando Prete, Italo Giorgio, Dionigi Lorusso

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this study was to evaluate whether total gastrectomy performed for gastric cancer leads to an increased risk of cholelithiasis and whether the method of reconstruction of the digestive tract influences that risk. A total of 102 patients who had undergone total gastrectomy for gastric cancer between 1980 and 1990 were studied. The preoperative prevalence of cholelithiasis was 4% in men and 12% in women. Eighty-seven patients (85%) without gallstones before surgery were reexamined after gastrectomy. The postoperative prevalence of cholelithiasis in this group was 36% in men and 19% in women. Before surgery, the difference between the expected frequency of cholelithiasis (calculated on the basis of the data of a community survey) and the observed frequency was not statistically significant (p>0.05) either in men or women. After surgery, the observed frequency of gallstones was significantly higher than the expected frequency in men (p

Original languageEnglish
Pages (from-to)6-10
Number of pages5
JournalAmerican Journal of Surgery
Volume166
Issue number1
DOIs
Publication statusPublished - 1993

ASJC Scopus subject areas

  • Surgery

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