Postcholecystectomy syndrome and its association with ampullary stenosis

Gregg, James A.; Clark, Geoffrey W.B.; Barr, Carey; McCartney, Alan; Milano, Anthony F; Volcjak, Charles

doi:10.1016/0002-9610(80)90296-2

Cited by 33 publications

(3 citation statements)

References 27 publications

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“…Anatomical changes in CBD after cholecystectomy had been observed; there is a trend towards significant dilatation after 3–6 months from cholecystectomy [18].…”

Section: Discussionmentioning

confidence: 99%

Impact of laparoscopic cholecystectomy on the complexity of endoscopic retrograde cholangiopancreatography

Seleem

Hanafy

Badawi

2021

European Journal of Gastroenterology &Amp; Hepatology

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Background and objectives A scarce number of researches discussed the impact of cholecystectomies on the anatomy of common bile duct (CBD) and intern if this will affect the difficulty of endoscopic retrograde cholangiopancreatography (ERCP). The objective of present study was to assess the impact of complicated cholecystectomy on the complexity and safety of the ERCP procedure Study design A total of 100 patients were enrolled after meeting the following inclusion criteria -study group (group A): 50 patients with previous history of complicated laparoscopic cholecystectomy and control group (group B): 50 patients with previous noncomplicated laparoscopic cholecystectomy. ERCP was performed and complexity was judged by a number of cannulation attempts, ERCP time, pancreatic cannulation and post-ERCP pancreatitis. ResultsThe study revealed prolonged ERCP procedure duration in noncomplicated cholecystectomy (24.2 ± 8.5 min) and it was significantly more prolonged in complicated cholecystectomy (39.6 ± 10.7 min; P = 0.03). The trials of cannulation attempts were significantly higher in the study group with complicated cholecystectomy (P = 0.009). Pancreatic duct cannulation was frequently higher in the complicated cholecystectomy group (P = 0.03). Difficult or failed stone extraction was significantly prevalent in the complicated cholecystectomy group and the occurrence of post-ERCP pancreatitis (PEP) was significantly higher than the control group. Conclusion ERCP after complicated laparoscopic cholecystectomy is more complex with increased duration liability of complications.

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“…Anatomical changes in CBD after cholecystectomy had been observed; there is a trend towards significant dilatation after 3–6 months from cholecystectomy [18].…”

Section: Discussionmentioning

confidence: 99%

Impact of laparoscopic cholecystectomy on the complexity of endoscopic retrograde cholangiopancreatography

Seleem

Hanafy

Badawi

2021

European Journal of Gastroenterology &Amp; Hepatology

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“…Pediatric Application. 99"Tc-IDA agents are ideal for pediatric application because of more favorable dosimetric consideration ( Table 1). These agents have been used in children for detection of biliary atresia, neonatal hepatitis, congenital malformation and other disorders (143)(144)(145)(146)(147).…”

Section: Liver Transplant Orthotopic Liver Transplanta-mentioning

confidence: 99%

Technetium-99m-iminodiacetic acid organic anions: Review of biokinetics and clinical application in hepatology

Krishnamurthy

1989

Hepatology

104

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Technetium-99m-labeled iminodiacetic acid analogs are a new class of organic anions, taken up and secreted by hepatocyte into hepatic bile by a carrier-mediated organic anion pathway. They provide a new dimension in the assessment of pathophysiology and morphology of the hepatobiliary system. The amount of uptake and the rapidity of its elimination from the liver is dependent upon the structural configuration of the agent as well as the functional integrity of the hepatocyte and the patency of the biliary system. The clinical areas for application are wide and include most of the hepatobiliary diseases. Technetium-99m-iminodiacetic acid, an agent well suited for both planar and single photon tomographic scintigraphy, is ideal for early diagnosis prior to anatomical changes in the hepatobiliary system. The data collection directly from the liver provides quantitation of both regional and global liver diseases. The count-based method for measuring gallbladder emptying overcomes the theoretical disadvantages of geometric tests. Biokinetics and current clinical application of six of the 99mTc-iminodiacetic acid agents are reviewed, and the potential future clinical and research areas of application are indicated.

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“…These attacks of colic included immediate post-operative or convalescent colic, attributable to stone in the CBD, hepatitis, and cholangitis and some were referable to incomplete cholecystectomy or caused by stricture of CBD. Ivy and Sandblom (1934) and Corazziari (2003) have found that after cholecystectomy hyperkinesis of the sphincter of Oddi might persist and become pastic, leading to overdistention of the bile ducts and production of pain [7].…”

Section: Discussionmentioning

confidence: 99%

Postcholecystectomy syndrome after laparoscopic cholecystectomy: A single center experience from Eastern India

Kumar¹,

Kumar²,

Babu³

et al. 2017

EJMS

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Cases after laparoscopic cholecystectomy were collected from Darbhanga Medical College and Hospital. A series of 200 cholecystectomized cases operated over a period of 5 years have studied. Follow-up of cases were made by personal interview and examination either at the hospitals or the residence, information collected from the relatives and by correspondence. Patient details, symptoms, clinical findings, investigations, and laboratory reports were noted. Hemogram, total counts, serum biliribin, and alkaline phosphatase were noted. Gastric analysis, upper gastrointestinal endoscopy (UGIE), ultrasound findings, intraoperative, and

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Postcholecystectomy syndrome and its association with ampullary stenosis

Cited by 33 publications

References 27 publications

Impact of laparoscopic cholecystectomy on the complexity of endoscopic retrograde cholangiopancreatography

Impact of laparoscopic cholecystectomy on the complexity of endoscopic retrograde cholangiopancreatography

Technetium-99m-iminodiacetic acid organic anions: Review of biokinetics and clinical application in hepatology

Postcholecystectomy syndrome after laparoscopic cholecystectomy: A single center experience from Eastern India

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