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post-cholecystectomy syndrome
Etiology:
- postoperative complication of cholecystectomy
Pathology:
- continuously increased bile flow into the upper GI tract
- may contribute to gastritis, GERD & esophagitis
- may cause diarrhea & colicky lower abdominal pain
- sphincter of Oddi dysfunction
- post-surgical adhesions.
- biliary microlithiasis
Clinical manifestations:
- dyspepsia
- nausea, vomiting
- flatulence
- bloating
- diarrhea
- right upper quadrant pain
Special laboratory:
- abdominal ultrasound
- ERCP may be diagnostic & therapeutic
Management:
- treatment of diarrhea
- fiber
- cholestyramine
- antispasmodics for colic
- proton pump inhibitor for gastritis, GERD & esophagitis
Related
cholecystectomy
General
postoperative complication
biliary disease
syndrome
References
- Wikipedia: Postcholecystectomy syndrome
http://en.wikipedia.org/wiki/Postcholecystectomy_syndrome
- Jensen SW and Geibel J
eMedicine: Postcholecystectomy Syndrome
http://emedicine.medscape.com/article/192761-overview
- WebMD: Postcholecystectomy Syndrome
http://www.webmd.com/digestive-disorders/postcholecystectomy-syndrome