609 results match your criteria Postcholecystectomy Syndrome


Cystic duct stones in postcholecystectomy Mirizzi syndrome - A novel endoscopic treatment.

Rev Esp Enferm Dig 2022 Apr 1. Epub 2022 Apr 1.

The Second Hospital of Hebei Medical University, The Second Hospital of Hebei Medical University, China.

Mirizzi syndrome is a rare type of cholelithiasis, and the main treatment is still surgery. The development of endoscopic technology has made surgeons more active in the management of rare diseases of the biliary tract and pancreas. Here we report that our center applied the new endoscopic method to treat a Mirizzi patient with residual cystic neck duct stones after laparoscopic cholecystectomy. Read More

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Dyspepsia and Gut Microbiota in Female Patients with Postcholecystectomy Syndrome.

Int J Womens Health 2022 26;14:41-56. Epub 2022 Jan 26.

Department of Internal Medicine I, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.

Background: Gallstone disease (GSD) represents one of the most frequent digestive disorders, highly reported in female gender. The purpose of the study was to explore the clinical and gut microbiota particularities of female patients with postcholecystectomy syndrome (PCS) and the possible relationship between gut dysbiosis (DB) and abdominal complaints.

Patients And Methods: In total, 129 female participants: 104 outpatients divided into two equal groups, 52 PCS (+), 52 PCS (-) and 25 healthy controls were consecutively enrolled in this observational study. Read More

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January 2022

Management of Postcholecystectomy Complications.

Surg Clin North Am 2021 Oct 7;101(5):889-910. Epub 2021 Aug 7.

Department of Surgery, Cedars Sinai Medical Center, 459 North Croft Avenue, Los Angeles, CA 90048, USA. Electronic address:

Cholecystectomy is one of the most common general surgery procedures performed worldwide. Complications include bile duct injury, strictures, bleeding, infection/abscess, retained gallstones, hernias, and postcholecystectomy syndrome. Obtaining a critical view of safety and following the other tenets of the Safe Cholecystectomy Task Force will aid in the prevention of bile duct injury and other morbidity associated with cholecystectomy. Read More

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October 2021

Residual Gallbladder and Cystic Duct Stump Stone after Cholecystectomy: Laparoscopic Management.

Chirurgia (Bucur) 2021 Aug;116(4):484-491

Cholecystectomy is the standard treatment for symptomatic gallstones, and the persistence of symptoms after surgery defines postcholecystectomy syndrome. Biliary causes of postcholecystectomy syndrome include subtotal cholecystectomy and remnant cystic duct stump stone; causes that are encountered with a low frequency, but which require diagnosis and provocative treatment. Laparoscopic management of such cases is recommended, but requires well-trained teams in laparoscopic surgery. Read More

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Severe complications of chronic cholelithiasis treatment.

Am J Emerg Med 2021 10 20;48:374.e5-374.e12. Epub 2021 Mar 20.

Research Institute of Human Morphology, Moscow, Russia. Electronic address:

Background: Gallstone disease is a burden affecting about 15% percent of the population around the world. The complications of gallstone disease are numerous and many require emergency care. Severe complications are not uncommon and require special attention, as lethal outcome is possible. Read More

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October 2021

Laparoscopic cholecystectomy for remnant gall bladder.

Authors:
T Erol O Abbasoǧlu

Niger J Clin Pract 2020 Nov;23(11):1621-1623

Department of General Surgery, Hacettepe University, Ankara, Turkey.

Laparoscopic cholecystectomy is one of the most frequently performed minimally invasive interventions. Inflammation during acute or subacute cholecystitis and fear of biliary duct injury can lead to unintentional remnant gall bladder retention. Diagnosing a remnant gall bladder can be challenging, and misdiagnosis or delayed diagnosis is common. Read More

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November 2020

Functional Dyspepsia and Irritable Bowel Syndrome are Highly Prevalent in Patients With Gallstones and Are Negatively Associated With Outcomes After Cholecystectomy: A Prospective, Multicenter, Observational Study (PERFECT - Trial).

Ann Surg 2022 06 1;275(6):e766-e772. Epub 2020 Sep 1.

Department of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.

Objective: To determine the prevalence of FD and IBS in patients eligible for cholecystectomy and to investigate the association between presence of FD/ IBS and resolution of biliary colic and a pain-free state.

Summary Background Data: More than 30% of patients with symptomatic cholecystolithiasis reports persisting pain postcholecystectomy. Coexistence of FD/IBS may contribute to this unsatisfactory outcome. Read More

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Diagnosis and management of bile acid diarrhoea: a survey of UK expert opinion and practice.

Frontline Gastroenterol 2020 11;11(5):358-363. Epub 2019 Sep 11.

Department of Gastroenterology, Lincoln County Hospital, Lincoln, UK.

Objective: Bile acid diarrhoea (BAD), which includes bile acid malabsorption, causes a variety of digestive symptoms. Diagnostic rates and management vary considerably. We conducted a survey of current practice to review expert opinion and provide guidance on diagnosis and management. Read More

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September 2019

Acupuncture for the Postcholecystectomy Syndrome: A Systematic Review and Meta-Analysis.

Evid Based Complement Alternat Med 2020 30;2020:7509481. Epub 2020 Jul 30.

School of Acu-Mox and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Background: Postcholecystectomy syndrome (PCS) has become a common postoperative syndrome that requires systematic and comprehensive therapy to achieve adequate clinical control. Acupuncture and related therapies have shown clinical effects for PCS in many studies. However, systematic reviews/meta-analyses (SRs/MAs) for them are lacking. Read More

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The postcholecystectomy syndrome in morbid obesity.

Proc (Bayl Univ Med Cent) 2020 Jul 27;33(3):393-394. Epub 2020 Apr 27.

Department of Family and Community Medicine, Baylor Scott & White Health and Texas A&M Health Science Center College of MedicineTempleTexas.

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. Read More

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Remnant Cystic Duct Disease After Cholecystectomy: A Case Series.

Surg Laparosc Endosc Percutan Tech 2020 Oct;30(5):467-470

Hepatopancreatobiliary Surgery, Nanchang University Second Affiliated Hospital, Nanchang, China.

Background: Remnant cystic duct (RCD) may be responsible for postcholecystectomy syndrome. We present our experience with the management of remnant cystic duct disease (RCDD) after cholecystectomy.

Methods: Over a period of 5 years, 10 patients underwent reoperation for RCDD in our hospital. Read More

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October 2020

Management of Postcholecystectomy Biliary Complications: A Narrative Review.

Am J Gastroenterol 2020 08;115(8):1191-1198

Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Every year approximately 750,000 cholecystectomies are performed in the United States, most of those are performed laparoscopically. Postcholecystectomy complications are not uncommon and lead to increased morbidity and financial burden. Some of the most commonly encountered complications with laparoscopic cholecystectomy include biliary injury (0. Read More

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A New Cause of Cholangitis Following Roux-en-Y Hepaticojejunostomy.

Gastroenterology 2020 08 1;159(2):e10-e11. Epub 2020 Feb 1.

Department of Hepatobiliary and Pancreatic Surgery and Transplantation, Sheba Medical Center, Faculty of Medicine Tel Aviv University, Tel Aviv, Israel; Centre Hépato-Biliaire, Hôpital Paul Brousse, Villejuif, France. Electronic address:

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Cystic duct remnant syndrome: endoscopic approach to management.

VideoGIE 2019 Dec 19;4(12):563-564. Epub 2019 Oct 19.

Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA.

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December 2019

Proteobacteria Acts as a Pathogenic Risk-Factor for Chronic Abdominal Pain and Diarrhea in Post-Cholecystectomy Syndrome Patients: A Gut Microbiome Metabolomics Study.

Med Sci Monit 2019 Sep 29;25:7312-7320. Epub 2019 Sep 29.

Department of Gastroenterology, The Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China (mainland).

BACKGROUND Laparoscopic cholecystectomy (LC) is regarded as the criterion standard for gallstone therapy, but post-cholecystectomy syndrome (PCS) is a common complication. This study aimed to analyze and identify differences in gut microbiome in PCS patients. MATERIAL AND METHODS This study involved 8 PCS patients (RS1), 8 asymptomatic PCS patients (RS2), and 8 healthy individuals (RS3). Read More

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September 2019

Acupuncture for the postcholecystectomy syndrome: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2019 Aug;98(32):e16769

School of Acu-Mox and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.

Background: Postcholecystectomy syndrome (PCS) is a term used to describe the persistence of biliary colic or right upper quadrant abdominal pain with a variety of postoperative gastrointestinal symptoms. Acupuncture and related treatments have shown clinical effects for PCS in many studies. But the systematic reviews and meta-analyses for them are lacking. Read More

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Intraoperative detection of the remnant cystic duct during robot-assisted surgery using near-infrared fluorescence imaging: a case report.

BMC Surg 2019 Aug 7;19(1):104. Epub 2019 Aug 7.

Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2300 RC, Leiden, The Netherlands.

Background: Post cholecystectomy syndrome is characterized as recurrence of symptoms as experienced before cholecystectomy. In rare cases, a remnant cystic duct is causing these symptoms and occasionally surgical resection is performed. During surgery, visualization of the biliary ducts could be difficult due to inflammation and dense adhesions. Read More

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

BMJ Case Rep 2019 Aug 5;12(8). Epub 2019 Aug 5.

Department of Gastrointestinal Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

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. Read More

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DISCHARGE AFTER ELECTIVE UNCOMPLICATED LAPAROSCOPIC CHOLECYSTECTOMY: CAN THE POSTOPERATIVE STAY BE REDUCED?

Acta Clin Croat 2018 Dec;57(4):669-672

1Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3School of Medicine, University of Zagreb, Zagreb, Croatia; 4School of Dental Medicine, University of Zagreb, Zagreb, Croatia.

- The aim of the study was to reevaluate the safety and feasibility of discharge 24 h after elective uncomplicated laparoscopic cholecystectomy. Since the introduction of laparoscopic cholecystectomy in our hospital, the minimum postoperative stay was considered to be two days based on surgeons' experience. The study included 337 operations performed by 21 surgeons during 2016 in the Sestre milosrdnice University Hospital Centre. Read More

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December 2018

Mini-invasive treatment of sump syndrome: OverStitch choledochoduodenostomy revision.

Endoscopy 2019 11 4;51(11):E337-E338. Epub 2019 Jun 4.

Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy.

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November 2019

An unusual case of postcholecystectomy syndrome.

Gastrointest Endosc 2019 07 19;90(1):162-164. Epub 2019 Mar 19.

Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT (Mediterranean Institute for Transplantation and Highly Specialized Therapies), Palermo, Italy.

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Effectiveness of mebeverine in patients with post-cholecystectomy gastrointestinal spasm: results of prospective observational program "odyssey".

Ter Arkh 2018 Aug;90(8):40-47

Abbott Laboratories, Moscow, Russia.

Aim: To assess the effectiveness of mebeverine 200 mg BID in patients with post-cholecystectomy gastrointestinal spasm not requiring surgical treatment.

Materials And Methods: 218 patients were included in 16 clinical centers in 14 cities in Russia. All patients had post-cholecystectomy gastrointestinal spasms, not requiring surgical treatment and received mebeverine (Duspatalin®) 200 mg BID. Read More

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Endoscopic sump syndrome secondary to EUS-guided choledocho-duodenostomy with a lumen-apposing metal stent.

Rev Esp Enferm Dig 2019 Jan;111(1):74-76

Servicio de Aparato Digestivo, Hospital Universitario Rio Hortega.

Sump syndrome (SS) is associated with choledocho-duodenostomy (CDD) dysfunction, which occurs due to accumulation of detritus, biliary mud and food remains in the suprapapillary distal common bile duct. The prevalence is low after CDD. Currently, biliary drainage endoscopic ultrasound (EUS)-guided with a lumen-apposing metal stent (LAMS) is a new minimally invasive alternative for biliary stenosis for patients in whom endoscopy retrograde cholangial-pancreatography (ERCP) is not feasible. Read More

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January 2019

Massive hepatolithiasis due to sump syndrome.

Cir Esp (Engl Ed) 2019 Mar 2;97(3):176. Epub 2018 Nov 2.

Servicio de Cirugía General y Digestiva, Hospital Galdakao-Usansolo, Galdakao, Bizkaia, España.

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Postcholecystectomy syndrome: symptom clusters after laparoscopic cholecystectomy.

Ann Surg Treat Res 2018 Sep 31;95(3):135-140. Epub 2018 Aug 31.

Department of Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

Purpose: Postcholecystectomy syndrome (PCS) is characterized by abdominal symptoms following gallbladder removal. However, there is no consensus for the definition or treatment for PCS. The purpose of this study was to define PCS among various symptoms after laparoscopic cholecystectomy, and to identify risk factors affecting PCS. Read More

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September 2018

Symptomatic Cholelithiasis of a Remnant Gallbladder after Open Cholecystectomy.

J Emerg Med 2018 09 23;55(3):e71-e73. Epub 2018 Jun 23.

Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan.

Background: Recurrent abdominal pain, particularly in the right upper quadrant (RUQ) in a patient with a history of cholecystectomy, known as postcholecystectomy syndrome, requires a broad differential diagnosis. Pathology of a retained gallbladder remnant is an exceedingly rare etiology of this pain.

Case Report: A 49-year-old woman who had previously undergone an open cholecystectomy presented to the emergency department with several hours of postprandial RUQ pain and emesis. Read More

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September 2018

A systematic review of the aetiology and management of post cholecystectomy syndrome.

Surgeon 2019 Feb 2;17(1):33-42. Epub 2018 May 2.

Department of General Surgery, Milton Keynes Hospital, United Kingdom.

Background: 10% of patients who undergo a cholecystectomy go on to develop post-cholecystectomy syndrome (PCS). The majority of these patients may suffer from extra-biliary or unrelated organic disorders that may have been present before cholecystectomy. The numerous aetiological causes of PCS result in a wide spectrum of management options, each with varying success in abating symptoms. Read More

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February 2019

[Splenic artery aneurysm masked by postcholecystectomy syndrome].

Angiol Sosud Khir 2018;24(1):175-178

Department of Faculty Surgery with the Courses of Endocrinology and Hematology, Izhevsk State Medical Academy of the Ministry of Health of the Russian Federation, Izhevsk, Russia.

Visceral artery aneurysms appear to belong to uncommon and potentially lethal vascular diseases. They are usually revealed accidentally during an ultrasonographic examination, magnetic resonance imaging, or computed tomography. Described in the article is a clinical case report concerning a sacciform aneurysm of the splenic artery, detected in a 53-year-old woman presenting with postcholecystectomy syndrome and followed up for abdominalgia by therapeutists and gastroenterologists. Read More

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Clinical patterns of postcholecystectomy syndrome.

Ann Hepatobiliary Pancreat Surg 2018 Feb 26;22(1):52-57. Epub 2018 Feb 26.

King Abdulaziz Medical City/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Backgrounds/aims: Postcholecystectomy syndrome represents a heterogeneous group of symptoms and findings in patients who have previously undergone cholecystectomy. It is rare and under-reported in Saudi Arabia. It can be attributed to many complications such as bile duct injury, biliary leak, retained common bile duct stones, recurrent bile duct stones, and bile duct strictures. Read More

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February 2018