Biliary Causes of Postcholecystectomy Syndrome

Schofer, Joel

doi:10.1016/j.jemermed.2007.11.090

Cited by 68 publications

(78 citation statements)

References 11 publications

(23 reference statements)

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“…However in some of these patients the cause may be biliary such as choledocholithiasis, traumatic biliary stricture, Sphincter of Oddi dysfunction or cystic duct/gallbladder remnant [3,4]. Patients with symptoms suggestive of gallstone disease such as biliary colic and obstructive jaundice justify a detailed evaluation to rule out any retained stone.…”

Section: Discussionmentioning

confidence: 99%

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Residual gallstone disease — Laparoscopic management

et al. 2010

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Section: Discussionmentioning

confidence: 99%

“…The condition is commonly referred as post cholecystectomy syndrome (PCS) [2]. Etiology of PCS is often non-biliary, however a few of these patients may actually harbor gallstones in a residual gallbladder or cystic duct stump [3,4]. The reported incidence of residual gallstones following cholecystectomy is <2.5% [5].…”

Section: Introductionmentioning

confidence: 99%

Residual gallstone disease — Laparoscopic management

et al. 2010

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“…Patients who already had preoperative dyspepsia, which appeared not to be correlated with cholelithiasis, nor with cholecystectomy, remained with the same symptoms after the operation, the persistence of symptoms being possibly linked to psychological vulnerability, as pointed by the literature 4,7,[11][12][13] .…”

Section: Symptomsmentioning

confidence: 99%

“…Other symptoms may be caused by disorders directly related to cholecystectomy, such as biliary stenosis, retained calculi, stenosis or dyskinesia of the sphincter of Oddi, diarrhea induced by bile salts and long remnant cystic duct 3,5,10,13,14 . On the other hand, opioids and other drugs used in high doses in general anesthesia, such as alfentanil and fentanyl citrate and morphine derivatives, have side effects such as nausea and vomiting, and reduce gastrointestinal motility, causing constipation 1,6 .…”

Section: Symptomsmentioning

confidence: 99%

Estudo randomizado para avaliação da dieta hipolipídica nos sintomas digestivos no pós-operatório imediato da colecistectomia por videolaparoscopia

Menezes

Fireman

Wanderley

et al. 2013

Rev. Col. Bras. Cir.

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Randomized study for assessment of hypolipidic diet in Randomized study for assessment of hypolipidic diet in Randomized study for assessment of hypolipidic diet in Randomized study for assessment of hypolipidic diet in Randomized study for assessment of hypolipidic diet in digestive symptoms immediately following laparoscopic digestive symptoms immediately following laparoscopic digestive symptoms immediately following laparoscopic digestive symptoms immediately following laparoscopic digestive symptoms immediately following laparoscopic cholecystectomy cholecystectomy cholecystectomy cholecystectomy cholecystectomy Estudo randomizado para avaliação da dieta hipolipídica nos sintomas Estudo randomizado para avaliação da dieta hipolipídica nos sintomas Estudo randomizado para avaliação da dieta hipolipídica nos sintomas Estudo randomizado para avaliação da dieta hipolipídica nos sintomas Estudo randomizado para avaliação da dieta hipolipídica nos sintomas digestivos no pós-operatório imediato da colecistectomia por videolaparoscopia digestivos no pós-operatório imediato da colecistectomia por videolaparoscopia digestivos no pós-operatório imediato da colecistectomia por videolaparoscopia digestivos no pós-operatório imediato da colecistectomia por videolaparoscopia digestivos no pós-operatório imediato da colecistectomia por videolaparoscopia HUNALDO We selected 40 patients, free of liver or pancreatic disease, biliary gallstones, gastritis, ulcer, diabetes and dyslipidemia, who were divided into two groups. We conducted dietary anamnesis, identification of dyspepsia before the onset of cholelithiasis and guidance on appropriate postoperatively feeding (normal or low-fat). We used the chi-square test and Pearson correlation for statistical assessment, considering p d" 0.05 as significant. Results Results ResultsResults Results: When comparing the two groups of patients without preoperative dyspepsia, it was observed that in group I seven patients (63.6%) were asymptomatic and in group II, four (66.7%). In group I, four (36.4%) had onset of symptoms and in group II, two (33.3%), p = 0.684. When correlating the two groups with preoperative dyspeptic symptoms, it was observed that there was permanence, appearance or disappearance of symptoms postoperatively, p = 0.114. Conclusion Conclusion Conclusion Conclusion Conclusion: There was no significant effect of low-fat diet in the prevention of gastrointestinal symptoms, especially in preoperatively asymptomatic patients. Thus, there is no need of a low-fat diet. So, it is up to the surgeon to evaluate each patient individually and adjust the diet to his/her needs and clinical conditions.

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“…The causes of post-cholecystectomy syndrome may be biliary or extrabiliary. Remnant gallbladder is a very rare cause of post-cholecystectomy syndrome [2]. We present a case of symptomatic remnant gallbladder which is a rare cause of post-cholecystectomy syndrome.…”

mentioning

confidence: 95%

Remnant gallbladder stones: a rare cause of post-cholecystectomy syndrome

Çetin¹,

Aday²,

Çiyiltepe³

et al. 2017

Arch Med Sci Civil Dis

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Laparoscopic cholecystectomy is a widely accepted surgical treatment for symptomatic gallstones. Symptoms disappear after surgery in approximately 85% of patients. Post-cholecystectomy syndrome is defined as the continuation of pre-existing clinical symptoms or the development of new symptoms after cholecystectomy. These patients most often present with upper abdominal pain (mostly right upper quadrant pain) and dyspepsia complaints. Symptoms may occur in early and late post-operative periods (2 nd postoperative day -25 years) [1]. The causes of post-cholecystectomy syndrome may be biliary or extrabiliary. Remnant gallbladder is a very rare cause of post-cholecystectomy syndrome [2]. We present a case of symptomatic remnant gallbladder which is a rare cause of post-cholecystectomy syndrome.A 67-year-old male patient presented with occasional recurrent right upper quadrant pain and dyspeptic complaints. The patient had laparoscopic cholecystectomy due to acute cholecystitis about 10 months ago and endoscopic retrograde cholangiopancreatography (ERCP) due to choledocholithiasis about 3 months after the operation. On the physical examination, trocar site incisions were observed and there was slight tenderness in the right upper quadrant. Laboratory values were normal. In the upper gastrointestinal system endoscopy there were no features other than antral gastritis.Abdominal ultrasonography (USG) revealed a posterior shadow consistent with calculus in the gallbladder lodge. Unenhanced computed tomography (CT) of the upper abdomen and magnetic resonance cholangiopancreatography (MRCP) revealed a small line-shaped area in the gallbladder lodge consistent with a 15 mm sized stone at the level of the neck region connected to the cystic duct. The diameter of the choledochus was approximately 7-8 mm and no stone was seen (Figures 1 and 2). The cystic duct and remnant gallbladder were observed in the patient operated with preoperative diagnosis of remnant gallbladder stones and remnant cystic duct stones. Cholecystectomy was performed for the patient, who had an approximately 1.5 cm stone in the bladder neck. On the 4 th postoperative day, the patient was discharged without any problems. Post-cholecystectomy syndrome is defined as the continuation or recurrence of symptoms after cholecystectomy. Remnant gallbladder, which is one of the rare causes of post-cholecystectomy syndrome, can be seen due to inadequate cholecystectomy, partial cholecystectomy or congenital gallbladder duplication. The most important cause of remnant gallbladder is the remaining gallbladder tissue in the partial cholecys-

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Biliary Causes of Postcholecystectomy Syndrome

Cited by 68 publications

References 11 publications

Residual gallstone disease — Laparoscopic management

Residual gallstone disease — Laparoscopic management

Estudo randomizado para avaliação da dieta hipolipídica nos sintomas digestivos no pós-operatório imediato da colecistectomia por videolaparoscopia

Remnant gallbladder stones: a rare cause of post-cholecystectomy syndrome

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