Symptoms following cholecystectomy occur in 12-68% of patients depending on how thecondition is defined, how actively symptoms are sought, and the indications for cholecystectomy.
when cholecystectomy is performed for acute calculous. cholecystitis at least 70% of patients remain symptom-free. Postcholecystectomy symptoms occur most frequently in women, In patients who have a history longer than 5 years prior to cholecystectomy, and in patients in whom the operation was undertaken for non-calculous gallbladder disease.
Causes of postcholecystectomy symptoms
Immediate post-surgical
Management depends on demonstrating a cause frequently no intrabdominal disease is found and the patient is managed with advice regarding a low fat diet, the use of antacid preparations, and treatment for the irritable bowel syndrome depending on the nature of the symptoms which patient is presenting.
when cholecystectomy is performed for acute calculous. cholecystitis at least 70% of patients remain symptom-free. Postcholecystectomy symptoms occur most frequently in women, In patients who have a history longer than 5 years prior to cholecystectomy, and in patients in whom the operation was undertaken for non-calculous gallbladder disease.
Causes of postcholecystectomy symptoms
Immediate post-surgical
- Trauma
- Bleeding
- Biliary peritonitis
- Abscess
- Fistula
- Common bile duct stones
- Benign stricture
- Tumour
- Cystic duct sump syndrome
- Papillary disorders
- Flatulent dyspepsia syndrome
- peptic ulcer
- pancreatic disease
- Hiatus hernia
- Irritable bowel syndrome
- Functional abdominal pain
Management depends on demonstrating a cause frequently no intrabdominal disease is found and the patient is managed with advice regarding a low fat diet, the use of antacid preparations, and treatment for the irritable bowel syndrome depending on the nature of the symptoms which patient is presenting.
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