Postcholecystectomy syndrome: Difference between revisions
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{{Infobox medical condition | |||
| name = Postcholecystectomy syndrome | |||
| synonyms = PCS | |||
| field = [[Gastroenterology]] | |||
| symptoms = [[Abdominal pain]], [[dyspepsia]], [[diarrhea]], [[jaundice]] | |||
| complications = [[Bile duct injury]], [[pancreatitis]] | |||
| onset = After [[cholecystectomy]] | |||
| duration = Variable | |||
| causes = Retained [[gallstones]], [[sphincter of Oddi dysfunction]], [[bile reflux]] | |||
| risks = Previous [[gallbladder disease]], [[surgery]] complications | |||
| diagnosis = [[Ultrasound]], [[endoscopic retrograde cholangiopancreatography]] (ERCP), [[magnetic resonance cholangiopancreatography]] (MRCP) | |||
| differential = [[Peptic ulcer disease]], [[irritable bowel syndrome]], [[hepatitis]] | |||
| treatment = [[Medication]], [[endoscopic therapy]], [[surgery]] | |||
| medication = [[Antispasmodics]], [[bile acid sequestrants]], [[proton pump inhibitors]] | |||
| frequency = 5-40% of patients post-cholecystectomy | |||
}} | |||
'''Postcholecystectomy syndrome''' (PCS) is a complex of symptoms that includes [[gastrointestinal]] disturbances and [[abdominal pain]] that persists after [[cholecystectomy]] (surgical removal of the [[gallbladder]]). | '''Postcholecystectomy syndrome''' (PCS) is a complex of symptoms that includes [[gastrointestinal]] disturbances and [[abdominal pain]] that persists after [[cholecystectomy]] (surgical removal of the [[gallbladder]]). | ||
== Symptoms == | == Symptoms == | ||
The symptoms of postcholecystectomy syndrome can be mild or severe, and may include: | The symptoms of postcholecystectomy syndrome can be mild or severe, and may include: | ||
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* [[Fever]] | * [[Fever]] | ||
* [[Chills]] | * [[Chills]] | ||
== Causes == | == Causes == | ||
The exact cause of postcholecystectomy syndrome is not known. However, it is believed to be due to changes in the [[bile duct]] and [[gallbladder]] following surgery. Other possible causes include: | The exact cause of postcholecystectomy syndrome is not known. However, it is believed to be due to changes in the [[bile duct]] and [[gallbladder]] following surgery. Other possible causes include: | ||
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* [[Sphincter of Oddi dysfunction]] | * [[Sphincter of Oddi dysfunction]] | ||
* [[Gastroesophageal reflux disease]] (GERD) | * [[Gastroesophageal reflux disease]] (GERD) | ||
== Diagnosis == | == Diagnosis == | ||
The diagnosis of postcholecystectomy syndrome is based on the patient's symptoms and medical history. Additional tests may be needed to confirm the diagnosis, such as: | The diagnosis of postcholecystectomy syndrome is based on the patient's symptoms and medical history. Additional tests may be needed to confirm the diagnosis, such as: | ||
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* [[Magnetic resonance imaging]] (MRI) | * [[Magnetic resonance imaging]] (MRI) | ||
* [[Endoscopic retrograde cholangiopancreatography]] (ERCP) | * [[Endoscopic retrograde cholangiopancreatography]] (ERCP) | ||
== Treatment == | == Treatment == | ||
The treatment of postcholecystectomy syndrome depends on the underlying cause. Treatment options may include: | The treatment of postcholecystectomy syndrome depends on the underlying cause. Treatment options may include: | ||
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* [[Endoscopic]] procedures | * [[Endoscopic]] procedures | ||
* [[Surgery]] | * [[Surgery]] | ||
== See also == | == See also == | ||
* [[Cholecystectomy]] | * [[Cholecystectomy]] | ||
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* [[Gallstones]] | * [[Gallstones]] | ||
* [[Sphincter of Oddi dysfunction]] | * [[Sphincter of Oddi dysfunction]] | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
{{stub}} | {{stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 00:35, 4 April 2025
| Postcholecystectomy syndrome | |
|---|---|
| Synonyms | PCS |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, dyspepsia, diarrhea, jaundice |
| Complications | Bile duct injury, pancreatitis |
| Onset | After cholecystectomy |
| Duration | Variable |
| Types | N/A |
| Causes | Retained gallstones, sphincter of Oddi dysfunction, bile reflux |
| Risks | Previous gallbladder disease, surgery complications |
| Diagnosis | Ultrasound, endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiopancreatography (MRCP) |
| Differential diagnosis | Peptic ulcer disease, irritable bowel syndrome, hepatitis |
| Prevention | N/A |
| Treatment | Medication, endoscopic therapy, surgery |
| Medication | Antispasmodics, bile acid sequestrants, proton pump inhibitors |
| Prognosis | N/A |
| Frequency | 5-40% of patients post-cholecystectomy |
| Deaths | N/A |
Postcholecystectomy syndrome (PCS) is a complex of symptoms that includes gastrointestinal disturbances and abdominal pain that persists after cholecystectomy (surgical removal of the gallbladder).
Symptoms[edit]
The symptoms of postcholecystectomy syndrome can be mild or severe, and may include:
Causes[edit]
The exact cause of postcholecystectomy syndrome is not known. However, it is believed to be due to changes in the bile duct and gallbladder following surgery. Other possible causes include:
- Bile duct injury
- Gallstones left in the bile duct
- Sphincter of Oddi dysfunction
- Gastroesophageal reflux disease (GERD)
Diagnosis[edit]
The diagnosis of postcholecystectomy syndrome is based on the patient's symptoms and medical history. Additional tests may be needed to confirm the diagnosis, such as:
- Ultrasound
- Computed tomography (CT) scan
- Magnetic resonance imaging (MRI)
- Endoscopic retrograde cholangiopancreatography (ERCP)
Treatment[edit]
The treatment of postcholecystectomy syndrome depends on the underlying cause. Treatment options may include:
- Medication
- Endoscopic procedures
- Surgery
