This is a review of gastric resection surgeries that were carried out in 570 patients with stomach cancer who were admitted to Kyung Hee University Hospital from January, 1989 through December, 1993. In order to establish the incidence of
cholelithiasis
after gastric resection, patients was examined with abdominal ultrasonography preoperatively and postoperatively. The prevalence of cholelithiasis at admission was 4.6%. Study candidates consisted of 366 patients, except those who had
cholelithiasis
preoperatively and who didn't have a follow-up after gastric resection. Cholelithiasis after resection developed in 16.4%(60/366) of patients, and with was significantly higher than incidence of cholelithiasis a admission(p<0.05). The incidence
of
cholelithiasis was not related significantly to the sex or age of the patients(p>0.05). In 51.6%(31/60) of patients, cholelithiasis have developed within 1 year after operation. The incidence of cholelithiasis after total gastrectomy with
esopha-gojejunostomy(21.8%) was higher than subtotal gastrectomy with gastrojejunostomy(15.3%) or with gastroduodenostomy(14.3%), but it was not shown to be a statistical difference(p>0.05). There was no relation between the incidence of
cholelithiasis
and the stage of the stomach cancer. Four of the sixty patients presenting cholelithiasis underwent cholesy-stectomy because of significant billiary symptoms. In conclusion, cholelithiasis appears to be a frequent complication after gastrectomy.
It
may
be related to the vagotomy which is performed at the time of gastric resection.
|