post-cholecystectomy syndrome

Etiology

• postoperative complication of cholecystectomy

Pathology

• continuously increased bile flow into the upper GI tract
  • may contribute to gastritis, GERD & esophagitis
  • may cause diarrhea & colicky lower abdominal pain
• sphincter of Oddi dysfunction
• post-surgical adhesions.
• biliary microlithiasis

Clinical manifestations

• dyspepsia
• nausea, vomiting
• flatulence
• bloating
• diarrhea
• right upper quadrant pain

Diagnostic procedures

• abdominal ultrasound
• ERCP may be diagnostic & therapeutic

Management

• treatment of diarrhea
  • fiber
  • cholestyramine
• antispasmodics for colic
• proton pump inhibitor for gastritis, GERD & esophagitis

More general terms

• postoperative complication
• biliary disease
• syndrome

Additional terms

• cholecystectomy