胆囊切除术后腹泻的研究进展

Research progress on postcholecystectomy diarrhea

胆囊切除术后腹泻临床发生率较高,其病理机制尚未明确,主要涉及肠道分泌和运动失调、肠黏膜屏障受损、肠道菌群失调等。临床目前对胆囊切除术后腹泻缺乏准确的诊断方法,应结合胆汁酸吸收不良、手术和药物、饮食等危险因素,优化手术方案,尽可能降低胆囊切除术患者术后腹泻发生率。

The clinical incidence rate of diarrhea after cholecystectomy is high,and its pathological mechanism is not clear,mainly involving intestinal secretion and movement disorders,intestinal mucosal barrier damage,intestinal flora disorders,etc.At present,there is a lack of accurate diagnosis methods for postoperative diarrhea after cholecystectomy.The risk factors such as bile acid malabsorption,operation,drugs and diet should be combined to optimize the surgical plan and reduce the incidence rate of postoperative diarrhea in patients with cholecystectomy as much as possible.