As the number of young patients with cholelithiasis is increasing due to westernized eating habits and unreasonable diets, If you have had cholecystectomy, you should be especially alert to diabetesIt seems that you should have Studies have shown that patients who have undergone cholecystectomy have a higher risk of developing diabetes than those who have not had cholecystectomy.because it’s done especially those at low risk of developing diabetes, i.e. The risk is more pronounced in those who are young, non-obese, and do not have hypertension or metabolic syndrome. Relief is prohibited even for slim and healthy people.
Hallym University Sacred Heart Hospital Endocrinology Department Professor Kang Joon-gu and Heo Ji-hye, Hallym University Dongtan Sacred Heart Hospital Department of Gastroenterology Professor Lee Gyeong-ju, Soongsil University Department of Information Statistics Actuarial Science Professor Han Kyung-do and the research team (hereinafter referred to as the research team) published the official journal of the American Society of Surgery, ‘Annals of Surgery (IF=13.787)’. In a recent issue, he published a paper titled ‘Cholecystectomy increases 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 liquid that helps digestion, and the bile duct, which is the path through which the bile moves.am. Gallstones are substances formed by the formation of hard crystals of some of the components of bile and gradually increasing in size. Bile is composed of components such as cholesterol, fatty acids, and bile acids. When the ratio of these components changes for various reasons, debris is formed, and they clump together to solidify like stones.
Gallstones usually occur in the gallbladder, but may also occur in the cystic duct or common bile duct, and the pain varies depending on the location. Approximately 80% of gallbladder cases are asymptomatic throughout life, and in this case, follow-upI can live while doing it.
but gallbladder When gallstones migrate and block the cystic duct, severe abdominal pain occurs, causing inflammation and progressing to acute cholecystitis.can do. in this case As the inflammation worsens, it can develop into necrotizing cholecystitis or peritonitis due to perforation. do.
Especially after cholecystectomy Recurrence must be prevented through lifestyle management such as diet and exercise.It is good to write.
The research team followed up a group (55,166 people) who underwent cholecystectomy from 2010 to 2015 and a group (110,332 people) who had the same sex and age but did not undergo cholecystectomy until 2019. As a result People who have had cholecystectomy have a 20% increased risk of developing diabetes compared to people who have not had cholecystectomy.appeared to do
In particular, the research team The increased risk of developing diabetes due to cholecystectomy (29% risk increase) was higher than the increased risk of developing diabetes due to obesity (24% risk increase).said. However, obesity is a major risk factor for diabetes. Obese people who underwent cholecystectomy had up to a 41% higher risk of developing diabetes than those who did not.appeared as
In addition, the increased risk of diabetes in the group undergoing cholecystectomy was It is more evident in people without major risk factors for diabetes (obesity, hypertension, dyslipidemia, old age, metabolic syndrome, impaired fasting glucose)did.
Although some information about health care after cholecystectomy has been revealed, there has been no study that has followed up the risk of developing diabetes in patients undergoing cholecystectomy for a long period of time.
The research team saidA study theoretically proving 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 continuously monitor blood sugarThere is,” he emphasized.
Hallym University Sacred Heart Hospital Endocrinology Professor Kang Joon-gu said, “After cholecystectomy, Practice healthy eating habits (▲avoid simple carbohydrates ▲increase vegetable intake ▲maintain balanced nutritional intake) and regular exercise (at least 150 minutes a week), and keep checking for diabetes through regular checkupsIt is good to do it,” 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 nutrition intake
4. Exercise regularly, such as at least 150 minutes a week
5. Regular hospital check-ups to check for diabetes