Post-cholecystectomy syndrome. Now
that your gallbladder has been removed,
persistent right upper quadrant pain
with nausea and vomiting
after cholecystectomy that mimics
pre-op symptoms, you will find this
in a number of your patients.
And if you have not properly
educated your patient,
they have no idea what’s going on
because they don’t know what to expect.
But if you tell them, follow up, and say,
“Listen, there is every possibility.
I have just performed the surgery.
I removed your gallbladder.
This is why you needed it. But the body
would take a little bit of time to adapt,
so therefore, you might still have
the same symptoms as what
you were experiencing prior. It’s
important that you know the definition.
It happens more often than we would like."
Causes are the following. You have
now just introduced surgery into
a very delicate portion of the body
known as the GI system.
Anytime that you introduce surgery,
for example, invasive laparoscopy.
Here, obviously, cholecystectomy, there’s
every possibility that you might then cause
fibrosis, stenosis, papillary stenosis,
retained stone in the common bile duct
possibly, bile duct injury itself
or biliary dyskinesia.
You’ve messed up the rhythm.
Not that you wanted to, but every
patient is going to respond
a little bit better.
In an idealistic world, it’d be great
to remove the gallbladder, and
the patient never having symptoms again.
The chances of that is so slim.
Complications are unfortunately
a true part of life and it's important
that you make sure that you properly
educate your patient because now,
if you don’t, that patient is going to
come after you with the lawyer.