Bile excretion dysfunction
Under normal circumstances, the gallbladder has the functions of storing and concentrating bile and adjusting the pressure in the biliary tract to adapt to people's eating habits. Normal liver cells continuously secrete bile, which is stored in gallbladder through cystic duct, and the concentration is about 10 times. After eating, the gallbladder contracts and a large amount of bile is discharged into the biliary tract to facilitate the digestion and absorption of fat. After cholecystectomy, the pressure in the biliary tract is mainly maintained by the secretory pressure of hepatocytes, which makes Oddi sphincter open for a long time and bile continuously enters the intestine. The amount of bile in digestive period is relatively insufficient, and the bile injected into biliary tract in non-digestive period can not play a role, which has a certain impact on the digestion and absorption of food. If you eat too much fat, due to the loss of gallbladder and the relative shortage of bile, it will lead to fat indigestion, diarrhea and lack of fat-soluble vitamins.
Effect on digestive system
After cholecystectomy, bile reflux can lead to inflammatory changes of gastric mucosa; Bile diarrhea is caused by the increase of bile acid concentration in intestinal cavity; In some cases, bile may flow back to the pancreatic duct due to the high internal pressure of bile duct, which may lead to biliary pancreatitis. But the probability of these three situations is not great. Generally speaking, cholecystectomy will not bring too much obstacle to the digestion and absorption function of human body.
Complications after cholecystectomy
(1) pulmonary infection
Mainly related to surgical trauma and general anesthesia. After operation, help the patient turn over, pat his back and encourage coughing and expectoration.
(2) jaundice
The main reasons may be: ① secondary stones in the common bile duct or small stones in the gallbladder are squeezed into the common bile duct due to surgical operation; ② Related to drugs, blood transfusion and hemolysis; ③ There may be bile duct injury.
(3) Bile fistula
The common causes are injury of accessory hepatic duct, common hepatic duct or common bile duct, or slippage of ligation line of cystic duct stump. Once the diagnosis is clear, it should be dealt with in time.
After cholecystectomy, it does have some disadvantages to the body, and postoperative recovery is very important. Besides paying attention to rest, it is also necessary to control diet. The main reason is that bile excretion function has changed compared with that before operation. In the near future after cholecystectomy, patients should avoid eating high-fat food, and the diet should be light, with less oil, high protein (no egg yolk) and high calories as the principle. You can eat less and eat more meals, especially don't eat too much animal fat food at one time, such as fat meat and pig's trotters. After 3 ~ 6 months, you can gradually add a small amount of fat to your diet for many times, with no indigestion such as abdominal discomfort and diarrhea as the standard. After a period of adaptation, there will be no reaction to fatty foods. In addition, it is absolutely necessary to have a normal physical examination and know your health status in time.
Follow the doctor's advice.