Clinical patterns of postcholecystectomy syndrome

Shirah, Bader; Shirah, Hamza Asaad; Zafar, Syed Husham; Albeladi, Khalid

doi:10.14701/ahbps.2018.22.1.52

Cited by 45 publications

(49 citation statements)

References 14 publications

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“…Most striking feature of that study is that they found helicobacter pylori infection is the second most common cause for post-cholecystectomy syndrome while in our study we did not find such cause in patients. 22…”

Section: Discussionmentioning

confidence: 99%

Evaluation of patients undergoing cholecystectomy with special reference to post-cholecystectomy syndrome

Kumar¹,

Sharma²

2018

Int Surg J

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Background: Significant percentage of patients remain symptomatic even after the cholecystectomy surgery for gall stone disease. Traditionally, this has been termed Post-Cholecystectomy syndrome which may consist of same symptoms for which cholecystectomy was performed or it may be a new set of symptoms that have developed after cholecystectomy. Aim of this study to find out incidence as well as pre-operative, intra-operative and post-operative determinants for the post-cholecystectomy syndrome. Methods: This is the prospective study, done in the Department of Surgery, Dr BSA Medical College and Hospital, New Delhi. Total 102 number of patients were included in this study, out of which 51 patients underwent open and another 51 patients underwent laparoscopic cholecystectomy. Results: The mean age of the patients was 40.29±10.69 years with an age range of 19 to 80 years. Incidence rate of post cholecystectomy symptoms were16.66% (n=17). Incidence of post-cholecystectomy syndrome in patients who underwent laparoscopic cholecystectomy were 15.69% (n=8) while in the open cholecystectomy group it was 17.64% (n=9). Out of seventeen symptomatic patients, eight (47.05%) were having the biliary disease while nine patients (52.95%) were having non-biliary cause. Conclusions: As authors studied present symptomatic group of patients thoroughly, it has become clear that the postcholecystectomy symptoms are multiple and diverse arising from various causes; which in reality has no relation with the removal of gall bladder. Hence the appellation 'post-cholecystectomy syndrome is inappropriate and instead we have used the term 'Post-Cholecystectomy Symptoms' for these patients.

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Section: Discussionmentioning

confidence: 99%

Evaluation of patients undergoing cholecystectomy with special reference to post-cholecystectomy syndrome

Kumar¹,

Sharma²

2018

Int Surg J

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“…[7][8][9] Gender-specific risk factors may contribute to the development of these symptoms. 10 Biliary factors include choledocholithiasis, biliary stricture, and sphincter of Oddi dysfunction. 5,6 Nonbiliary factors include pancreatic disorders, peptic ulcer, liver disease, irritable bowel syndrome, coronary artery disease, and gastroesophageal reflux.…”

Section: Discussionmentioning

confidence: 99%

The postcholecystectomy syndrome in morbid obesity

Ejimakor

Goldson

et al. 2020

Baylor University Medical Center Proceedings

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Choledocholithiasis has been found in about 5% to 20% of the approximately 20 million Americans with cholelithiasis who have undergone cholecystectomy. We report a case of a 64-year-old woman who developed gallstones after undergoing a cholecystectomy >40 years earlier. The potential of retained gallstones, incomplete gallbladder removal, or regeneration of gallstones in the gallbladder remnant or cystic duct remnant after a long time following cholecystectomy is discussed.

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“…Among cases of late PCS, remnant stones in cystic duct stump account for 17%–25% cases 6. A cystic duct stump >1 cm in length after cholecystectomy causing PCS is known as cystic duct stump syndrome 7. Palanivelu et al 8 reported an incidence of remnant cystic duct calculus of 4.19% in LC as compared with 0.02% in open cholecystectomy 9…”

Section: Discussionmentioning

confidence: 99%

Late postcholecystectomy Mirizzi syndrome due to a sessile gall bladder remnant calculus managed by laparoscopic completion cholecystectomy: a feasible surgical option

Desai¹,

Pande

Narkhede

et al. 2019

BMJ Case Rep

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Postcholecystectomy Mirizzi syndrome (PCMS) is an uncommon entity that can occur due to cystic duct stump calculus, gall bladder remnant calculus or migrated surgical clip. It can be classified into early PCMS or late PCMS. It is often misdiagnosed and the management depends on the site of impaction of stone or clip. Endoscopy can be performed for cystic duct stump calculus. However, surgery is the treatment for remnant gall bladder calculus. Role of laparoscopic management is controversial. We present here a case of a 48-year-old woman with late PCMS due to an impacted calculus in a sessile gall bladder remnant following a subtotal cholecystectomy, managed with laparoscopic completion cholecystectomy, review the literature, provide tips for safe laparoscopy for PCMS and summarise our algorithmic approach to the management of the postcholecystectomy syndrome.

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Clinical patterns of postcholecystectomy syndrome

Cited by 45 publications

References 14 publications

Evaluation of patients undergoing cholecystectomy with special reference to post-cholecystectomy syndrome

Evaluation of patients undergoing cholecystectomy with special reference to post-cholecystectomy syndrome

The postcholecystectomy syndrome in morbid obesity

Late postcholecystectomy Mirizzi syndrome due to a sessile gall bladder remnant calculus managed by laparoscopic completion cholecystectomy: a feasible surgical option

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