Post-Operative Anticipation of Outcome after Cholecystectomy

Document Type : Original Article

Authors

1 King Abdulaziz University

2 Imam Abdulrahman Bin Faisal University

3 Umm Alqura University

4 King Faisal University

5 KSH

6 Qassim University

7 Rak Medical and Health Sciences University

8 King Khaled University

9 King Abdulaziz Specialist Hospital

10.12816/0042569

Abstract

Background: A substantial group of patients with gallstone disease experience negative outcome after surgical removal of the gallbladder (cholecystectomy). Early identification of these patients is important.
Purpose: The purpose of the study was to recognize predictors (trait anxiety and clinical symptoms) of negative symptomatic outcomes at 5 weeks after cholecystectomy.
Materials and Methods: Consecutive patients (n = 66), 18–60 years, with symptomatic gallstone disease, completed symptom checklists and the state-trait anxiety inventory preoperatively and at 6 weeks after cholecystectomy. Results: High trait anxiety was the only predictor of persistence of biliary symptoms at 6 weeks after cholecystectomy (OR = 6.79). Conclusion: In addition to clinical symptoms, high trait anxiety is a predictor of negative symptomatic outcome at 6 weeks after cholecystectomy. Trait anxiety should be evaluated to aim at a patient-tailored approach in gallstone disease.
 

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