Because of the removal of the gallbladder, the gallbladder concentration function is lost, and the bile secreted by the liver is continuously discharged into the duodenum like a trickle. After eating a lot of greasy food, the liver can't release a lot of bile at a time to help digestion, bile will be relatively lacking, and the fat in food can't be fully digested, which is easy to cause diarrhea. This kind of diarrhea is called fatty diarrhea.
2. Fasting, rehydration and prevention of infection after operation.
Focus on the changes of abdominal amylase and hematuria. If there were no complications, LC was performed 3 ~ 5 days after EST. Such as transient increase of blood amylase after operation (only blood amylase is higher than normal without abdominal pain and vomiting), acute pancreatitis (hyperamylasemia with severe abdominal pain and vomiting), nipple incision bleeding, etc. LC was performed 3 ~ 5 days after the symptoms disappeared.
3. Protein powder has a good effect on postoperative recovery of patients, which can accelerate wound healing, supplement various nutrients needed by patients, and eat something digestible in the diet.
Patients undergoing cholecystectomy for diseases such as cholecystitis should pay attention to self-care after operation to prevent secondary colorectal cancer. After cholecystectomy, the incidence of colorectal cancer can increase, mainly because after cholecystectomy, the secondary cholic acid in the body enters the intestine and increases, which stimulates the proliferation of colon mucosa, thus increasing the risk of colon adenoma and colon cancer. Therefore, patients undergoing cholecystectomy should take more physical activities to promote intestinal peristalsis; Eat more vegetables, fruits and coarse grains rich in cellulose to keep the stool unobstructed; Control weight and avoid obesity; Eat more fresh milk and dairy products. The calcium and vitamins A and D in milk can inhibit or reduce the secretion of cholic acid. In addition, often observe the situation of stool, such as bleeding, morphological changes of stool, etc., in order to find it early.
Gallbladder is the place where the human body stores bile. Bile secreted by the liver is continuously stored and concentrated. When eating, the gallbladder discharges concentrated bile into the duodenum through its own contraction to help digest fat. If the gallbladder must be removed for various reasons, such as cholecystitis, stones, polyps, gallbladder cancer, etc. People will face the physiological changes caused by unregulated bile. At this time, bile will continue to enter the duodenum, but people can't get enough bile to help digestion when eating, and there will be symptoms of indigestion, such as abdominal discomfort, bloating and diarrhea. Attention should be paid to the following points after cholecystectomy:
1. Dietary guidance to choose digestible food. In the near future after operation, try to reduce the intake of fat and cholesterol, and do not eat or eat less fat, fried food, animal offal, etc. If the taste requires it, you can cook the food properly with some olive oil. Protein-rich foods should be added to meet the needs of human metabolism, such as lean meat, aquatic products and bean products. Eat more foods rich in dietary fiber and vitamins, such as fresh fruits and vegetables. Develop the habit of eating regularly, and eat a little more to adapt to the physiological changes after cholecystectomy. The symptoms of indigestion will last for about half a year. As time goes on, the common bile duct will gradually expand, partially replacing the gallbladder, and the symptoms of indigestion will gradually ease. At this time, the diet can gradually transition to normal.
2. Psychological care after cholecystectomy should maintain an optimistic attitude towards life and avoid negative emotions such as anxiety and depression. Within two or three months after operation, you can take a walk and other activities to promote the recovery of your body.
3. Review the drug use regularly according to the doctor's advice and go to the hospital regularly, and see a doctor in time if you feel unwell.
Cholecystectomy for cholecystitis. Generally, 40% ~ 45% patients are satisfied with the curative effect and the symptoms disappear. However, a few patients still have the original symptoms after operation, or the original symptoms recur after a period of remission, and some have new symptoms, which are collectively called "post-cholecystectomy condensation syndrome".
Patients with post-cholecystectomy syndrome have gastrointestinal symptoms and systemic symptoms such as epigastric pain, colic-like attack, jaundice, chills and fever, nausea, vomiting, depression, anxiety and progressive weight loss. This symptom occurs in 2% ~ 8% people after cholecystectomy.
After cholecystectomy, the dysfunction of biliary system is caused by the disorder of biliary tract dynamics and abnormal bile flow. In addition, some pathological reasons also play a major role, the common factors are:
Residual stones in intrahepatic and extrahepatic bile ducts, especially the lower end of common bile duct, or regenerative stones. Residual inflammation of cystic duct occurred after the cystic duct was retained for too long; Injury and stenosis of bile duct or Oddi sphincter; Primary diseases, such as ulcer, esophageal hiatal hernia, chronic pancreatitis, gastritis, liver cirrhosis, periampullary tumor, etc., were not treated during operation; Some mental factors and so on.
If the above symptoms appear after operation, the cause should be analyzed and treated. If there are organic lesions, residual stones (especially common bile duct), tumors around ampulla and obstruction of common bile duct, reoperation should be performed.
What should you pay attention to after cholecystectomy?
After cholecystectomy, there will be some changes in the human body, and these compensatory changes in the body are to meet the needs of digestion. This process takes about 2 ~ 3 months. During this compensation and adaptation period, the function of digesting and absorbing fat will be temporarily affected. In order to adapt to this change, people who have undergone cholecystectomy should appropriately limit their fat intake (the so-called low-fat diet), and they can adopt the method of eating less and eating more meals, especially not eating too much animal fat food, such as fat meat and pig's trotters, at one time. After 2 months, according to the reaction to food, you can gradually increase some fatty foods, from less to more. If you feel uncomfortable, reduce or temporarily stop eating. After a period of adaptation, there will be no reaction to fatty foods.