Dietary Habits and Management Strategies in Post-Cholelithiasis Patients: A Cross-Sectional Study

Abstract

Background: Cholelithiasis affects approximately 10-20% of adults globally, with dietary management playing a crucial role in prevention, symptom control, and recurrence prevention. Despite the importance of nutritional interventions, gaps exist in post-operative dietary counseling and patient compliance.
Objective: To examine the dietary habits and management strategies that patients adopt following a diagnosis of cholelithiasis or after undergoing surgery for the condition.
Methods: This study is a cross-sectional descriptive study conducted in the dietetic department of Manipal Hospital Ghaziabad. It aims to assess dietary compliance and the risk of recurrence of gastrointestinal symptoms in patients following gallbladder removal. Data were collected using structured questionnaires, 24-hour dietary recall, and food frequency questionnaires. Anthropometric measurements and clinical parameters were also assessed.
Results: The majority of patients were aged 31-45 years (32.5%) with a slight male predominance (55%). Seventy percent had a family history of gallstones, and 65% underwent laparoscopic cholecystectomy. Concerning dietary management, only 52.5% received dietary advice post-surgery, while 57.5% were aware of dietary risk factors. Water intake was adequate (>2L/day) in 62.5% of patients. Stone recurrence occurred in 45% of cases.
Conclusion: Significant gaps exist in post-operative dietary education and management. Structured nutritional counseling should be integrated into standard cholelithiasis care protocols to improve outcomes and reduce recurrence rates.