Author: Khusainova, Munira Alisherovna; Khaydarov, Sanjar Nizamitdinovich; Uzokov, Jurabek Bakhtiyorovich; Uzokov, Jurabek Bakhtiyorovich; Shonazarova, Nodira Khudoyberdiyevna

Annotation: The purpose of the research. To evaluate the quality of life indicators in patients with cholelithiasis in the long-term period after cholecystectomy with various surgical options and the course of the disease (latent or symptomatic) and compare them with the quality of life indicators in people with cholecystolithiasis. Materials and methods. In an open clinical study, 170 patients with GI were examined, 60 of them were operated on for GI, 110 patients had cholecystolithiasis. In 1/3patients with GI, the disease was asymptomatic, in 2/3 — with clinical manifestations. To assess the quality of life, a validated questionnaire specific to patients with GI was used Gallstone Impact Checklist. Results. Among patients with gastrointestinal tract who had undergone cholecystectomy who sought outpatient help from a gastroenterologist, the quality of life was significantly worse on the nutrition scale (26.0 ± 2.8points) and the overall score (89.0 ± 9.6 points) than in patients with gallstones (16.5 ± 2.2 and 61.0± 6.8 points, respectively, p < 0.05). Quality of life indicators in GI patients operated onfrom the mini-access (total score 83.6 ± 13.7 points), did not differ from those after laparoscopic cholecystectomy (85.0 ± 10.9 points, p > 0.05). In those patients with GI in whom the disease was asymptomatic before the operation, the quality of life (by the total score) decreased more significantly (by 29.8%) compared with patients with GI in whom the disease was clinical before the operation (by 4.1%), when compared with the total score in all examined patients with GI. Conclusions. The quality of life in patients with GI in the long-term period after cholecystectomy was significantly worse according to separate scales of the GIC questionnaire than in patients with gallstones, regardless of the type of surgery (mini-access or laparoscopic). At the same time, in patients with a latent course of GI before surgery, the quality of life is significantly worse on all scales than in patients with clinical symptoms before surgery.

Keywords: gallstone disease; quality of life; cholecystectomy.

Pages in journal: 231 - 239