Uncomplicated cholecystolithiasis Gallstones Cholecystectomy Post-cholecystectomy symptoms Ongecompliceerde cholecystolithiasis Galstenen Cholecystectomie Symptomen na cholecystectomie
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - 18 years of age or older, and - with ultrasonically proven, uncomplicated cholecystolithiasis, and - referred for surgical consultation
Exclusion criteria
Exclusion criteria: - History of complicated cholelithiasis (i.e. choledocholithiasis, acute cholecystitis, biliary pancreatitis or cholangitis) - Current schizophrenia, memory deficiency, or any other disorder that predispose them to unreliable questionnaire responses; - Mentally incompetent; - Insufficient knowledge of the Dutch language; - Known pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The predictive validity, external validity and the sensitivity and specificity of the decision rule with as outcome a pain-free patient after 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| - The proportion of patients fulfilling 3 or more criteria of the decision rule and scheduled for cholecystectomy and the proportion in those not scheduled. - The proportion of patients fullfilling 3, 4 or 5 criteria of the decision rule, scheduled for cholecystectomy and pain-free. - The symptoms of patients at baseline prediciting to be painfree after cholecystectomy. - The proportion of patients with uncomplicated cholecystolithiasis and abdominal symptoms that has a BMI >25 and the proportion with BMI >30 - The difference in symptom change, after six months follow-up between the group of patients that received cholecystectomy and those without operation - Description of additional health care consumption in patients not scheduled for surgery, i.e. diagnostic tests and therapeutic interventions within six months of first outpatient clinic visit - Description of the aspect and wall thickness of the gallbladder wall at ultrasound - Description of the pathological report of the gallbladder (providing that the patient had an operation and pathological examination of the gallbladder is done) | — |
Contacts
Huispost 618, Postbus 9101