Post-Cholecystectomy Syndrome

by Carlo Raj, MD

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    00:01 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.

    00:19 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.

    00:26 But if you tell them, follow up, and say, “Listen, there is every possibility.

    00:31 I have just performed the surgery. I removed your gallbladder.

    00:35 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.

    00:48 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.

    01:03 Anytime that you introduce surgery, for example, invasive laparoscopy.

    01:07 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.

    01:24 You’ve messed up the rhythm. Not that you wanted to, but every patient is going to respond a little bit better.

    01:30 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.

    01:43 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.

    01:57 Management, ERCP.

    About the Lecture

    The lecture Post-Cholecystectomy Syndrome by Carlo Raj, MD is from the course Pancreatic and Biliary Tract Diseases.

    Included Quiz Questions

    1. Choledochal cysts
    2. Papillary stenosis
    3. Retained stone in the common bile duct
    4. Bile duct injury
    5. Biliary dyskinesia
    1. Biliary dyskinesia
    2. Post cholecystectomy scarring
    3. Retained stone in the biliary tract
    4. Bile duct obstruction
    5. Papillary stenosis

    Author of lecture Post-Cholecystectomy Syndrome

     Carlo Raj, MD

    Carlo Raj, MD

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