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Health care after cholecystectomy… Don’t miss ‘Diabetes’ |

As the number of young patients with cholelithiasis increases due to western eating habits and irrational diets, If you have had a cholecystectomy, you should be particularly alert to diabetesIt seems you should have Studies have shown that patients who have had a cholecystectomy have a higher risk of developing diabetes than those who have not had a cholecystectomy.because it is made especially for those who have a low risk of developing diabetes, ie The risk is more pronounced in those who are young, who are not obese, and who do not have hypertension or metabolic syndrome. Relief is prohibited even for slim and healthy people.

Department of Endocrinology Sacred Heart Hospital Hallym University Professor Kang Joon-gu and Heo Ji-hye, University of Hallym Sacred Heart Hospital Dongtan Department of Gastroenterology Professor Lee Gyeong-ju, Department of Information Statistics Soongsil University Actuarial Science Professor Han Kyung- do and the research team (hereafter referred to as the research team) the official journal of the American Surgical Association, ‘Annals of Surgery (IF=13.787)’ In a recent issue, published a paper entitled ‘Cholecystectomy is increasing’ The risk of type 2 diabetes in the Korean population’.

Cholelithiasis is a disease that causes various problems due to the formation of stones in the gallbladder, which stores bile, a fluid that helps digestion, and the bile duct, which is the path through which the bile moves.in. Gallstones are substances formed when some of the components of bile form hard crystals and gradually increase in size. Bile contains components such as cholesterol, fatty acids, and bile acids. When the ratio of these components changes for various reasons, debris is formed, and they accumulate together to harden like stones.

Gallstones usually occur in the gallbladder, but they can also occur in the cystic duct or common bile duct, and the pain varies depending on the location. Around 80% of gallbladder cases are asymptomatic throughout life, and in this case, progressionI can live doing it.

but gall bladder When gallstones migrate and block the cystic duct, severe abdominal pain occurs, causing inflammation and progressing to acute cholecystitis.able to do in this case As the inflammation worsens, it can develop into necrotizing cholecystitis or peritonitis due to perforation. do.

Especially after cholecystectomy This must be prevented from happening again through lifestyle management such as diet and exercise.It is good to write.

The research team followed a group (55,166 people) who had a cholecystectomy between 2010 and 2015 and a group (110,332 people) who were of the same sex and age but did not have a cholecystectomy until 2019. As a result People who have had a cholecystectomy have a 20% higher risk of developing diabetes compared to people who have not had a cholecystectomy.appear to do

Specifically, the research team The increased risk of developing diabetes due to cholecystectomy (29% increased risk) was greater than the increased risk of developing diabetes due to obesity (24% increased risk).He said. However, obesity is a major risk factor for diabetes. Obese people who had a cholecystectomy had up to a 41% higher risk of developing diabetes than those who did not.it appeared as

In addition, there was an increased risk of diabetes in the cholecystectomy group It is more pronounced in people without major risk factors for diabetes (obesity, hypertension, dyslipidaemia, old age, metabolic syndrome, impaired fasting glucose)he did

Although some information about health care after cholecystectomy has been revealed, no study has been done to track the risk of developing diabetes in patients undergoing cholecystectomy for a long period of time.

The research team saidA study that theoretically proves that the absence of the gallbladder as an important organ for maintaining the body’s metabolic rate can adversely affect glucose metabolism and cause an increase in blood sugar.“saying”Cholecystectomy patients must monitor blood sugar continuouslyThere is,” he stressed.

Hallym University Sacred Heart Hospital Professor of Endocrinology Kang Joon-gu said, “After a cholecystectomy, Practice healthy eating habits (▲avoid simple carbohydrates ▲increase vegetable intake ▲maintain a balanced nutritional intake) and exercise regularly (at least 150 minutes per week), and continue to check for diabetes through regular check-upsIt’s good to do,” he advised.

TIP. 5 lifestyle tips for preventing diabetes in cholecystectomy patients

1. Avoid Simple Carbohydrates
2. Increase your vegetable intake
3. Maintain an even nutritional intake
4. Exercise regularly, like at least 150 minutes a week
5. Regular hospital checks to check for diabetes