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논문 기본 정보

자료유형
학술저널
저자정보
Hongbeom Kim (Dongguk University College of Medicine) In Woong Han (Sungkyunkwan University School of Medicine) Jin Seok Heo (Sungkyunkwan University School of Medicine) Min Gu Oh (Dongguk University College of Medicine) Chi Yeon Lim (Dongguk University College of Medicine) Yoo Shin Choi (Chung-Ang University College of Medicine) Seung Eun Lee (Chung-Ang University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.3
발행연도
2018.9
수록면
135 - 140 (6page)

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Purpose: Postcholecystectomy syndrome (PCS) is characterized by abdominal symptoms following gallbladder removal. However, there is no consensus for the definition or treatment for PCS. The purpose of this study was to define PCS among various symptoms after laparoscopic cholecystectomy, and to identify risk factors affecting PCS.
Methods: This study was conducted at Dongguk University Ilsan Hospital and Chung-Ang University Hospital (2012–2013). Outcomes were assessed using European Organization for Research and Treatment of Cancer QLQ-C30 questionnaire. Symptom cluster for determining PCS was made by factor analysis. Cluster analysis evaluating risk factors of PCS was made by Ward methods and Dentogram.
Results: Factor analysis revealed three distinct symptom clusters, those are "insomnia and financial difficulties (eigenvalue, 1.707; Cronbach α, 0.190)," "appetite loss and constipation (eigenvalue, 1.413; Cronbach α, 0.480)," and "right upper quadrant (RUQ) pain and diarrhea (eigenvalue, 1.245; Cronbach α, 0.315)." Among these symptom clusters, the cluster of "RUQ pain and diarrhea" was determined as PCS. However, we could not find any risk factors between high symptomatic group and low symptomatic group.
Conclusion: PCS could consist of RUQ pain and diarrhea. Well-designed prospective trials are needed to determine risk factors of PCS.

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INTRODUCTION
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UCI(KEPA) : I410-ECN-0101-2018-514-003396805