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Post-cholecystectomy syndrome

 Post-cholecystectomy syndrome

There are many complications of cholecystectomy, one of which is a post-cholecystectomy syndrome, but do you know what this syndrome is?

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Post-cholecystectomy syndrome is one of the complications of cholecystectomy, and in the following article we will learn about this syndrome more clearly:

Post-cholecystectomy syndrome: causes

Post-cholecystectomy syndrome is mainly caused by leakage of bile into areas such as the stomach, or gallstones left in the bile ducts after gallbladder removal surgery.

Post-cholecystectomy syndrome is usually a temporary condition, and it may affect approximately 5% to 40% of people who undergo gallbladder removal surgery.

Post-cholecystectomy syndrome: symptoms

Post-cholecystectomy syndrome causes two main problems, one in the upper part of the digestive system and the other in the lower part, causing many symptoms, including:

  1. Pain in the upper right part of the abdomen and in the stomach.
  2. Feeling sick and vomiting.
  3. Flatulence and gas.
  4. Diarrhea.
  5. Esophagitis.
  6. Gastritis.
  7. High temperature.
  8. Yellowing of the skin and eyes.

Post-cholecystectomy syndrome: diagnosis

Post-cholecystectomy syndrome is diagnosed through one or more of the following tests:

  1. A complete blood test to rule out infections.
  2. Doing each of the complete metabolic panel, amylase, lipase, and prothrombin time, to assess the possibility of any liver diseases, biliary or pancreatic origin.
  3. Carrying out a blood gas analysis if the patient has severe symptoms.
  4. Performing both gamma-glutamyl transpeptidase and tests for hepatitis, thyroid function, and heart enzymes to rule out other diseases.
  5. Imaging rays of the abdomen, such as: ultrasound or computerized tomography, to check the extent of the expansion of the common bile duct.
  6. Endoscopy, such as endoscopic ultrasound or endoscopy of the pancreas and bile ducts, is the most accurate method of diagnosis.

Post-cholecystectomy syndrome: treatment

Although post-cholecystectomy syndrome is often a temporary complication, there are many treatment methods that must be reported if the diagnosis is confirmed, some of which are medicinal and some are surgical, as follows:

Treating post-cholecystectomy syndrome with medications

Post-cholecystectomy syndrome can be treated with medications, depending on the patient's condition, as follows:

1. If you have Irritable Bowel Syndrome

One of the following drugs is used:

  • Fillers, such as polycarbophil.
  • Antispasmodics, such as Dicyclomine.
  • Tranquilizers, such as diazepam.

2. If diarrhea is present alone

Cholestyramine is used.

3. In the event of gastroesophageal reflux or gastritis

One of the following drugs is used:

  • Antacids, such as calcium carbonate.
  • Antihistamines, such as cimetidine.
  • Proton pump inhibitors, such as omeprazole

Treatment of post-cholecystectomy syndrome with surgery

Post-cholecystectomy syndrome is treated with surgery depending on the diagnosis of the condition, and among the surgical methods used, we mention endoscopy of the pancreas and bile ducts, which is the most commonly used surgery.

Post-cholecystectomy syndrome: complications

There are some complications that can result from a post-cholecystectomy syndrome, including:

  1. Infection with Mirizzi syndrome due to the formation of gallstones in the event that one of the cystic ducts remains from the gallbladder.
  2. Infection of the biliary tract, migration or blockage of the mesh, if the mesh is installed and not removed within 3 to 6 months of installation.