What is postcholecystectomy syndrome?

Postcholecystectomy syndrome (PCS) is a term used to describe a group of symptoms that some patients experience after cholecystectomy. Cholecystectomy is commonly performed to remove the gallbladder, an organ that deposits the bile. The jerk is a green fluid produced by the liver and is important in digesting fat. Studies show that about 15% of patients in these cases suffer from postcholecystectomy syndrome. Its exact mechanism is still not fully understood, but is generally attributed to the change in the flow of bile due to the absence of gallbladder.

The first described in 1947 is postcholecystectomic syndrome by persisting several symptoms that patients experience after surgery. These include nausea, gas or flatulence, vomiting and long -term abdominal pain. It also includes symptoms often associated with organ removal, such as diarrhea or free movement of the intestines, gastritis, or irritation and inflammation of the stomach lining. Newer symptoms of ALSO related to gallbladder problems that may occur after cholecystectomy arealso considered part of postcholecystectomy. The bile stones usually develop when the bile substances harden and prevent the normal flow of bile. The causes include a high fat diet, the history of bile stones in the family, aging and obesity. Removal of the gallbladder, either an open surgery or laparoscopy, is often performed to alleviate the symptoms of the patient. Laparoscopy that uses a range inserted into the abdomen through small skin cuts is usually preferred because it is less invasive.

Several studies of postcholecystectomy syndrome in patients who have undergone cholecystectomy have found that more than half of patients after surgery have not seen any symptoms or less intense symptoms. Only a small digit that their symptoms became serious after surgery. Other research has identified possible risk factors that may increase the tendency of an individual to have postcholecystectomicKy syndrome. These may include undergoing emergency cholecystectomy, with symptoms of bile stone for a long time and suffering from psychiatric disorders and some intestinal diseases such as irritating bowel syndrome.

Treatment of postcholecystectomy syndrome often depends on the specific cause of the problem. Doctors must thoroughly evaluate these patients by physical examination, laboratory tests, imaging tests and other special procedures to come up with their diagnosis. Drugs are usually given for relief from gastritis, hyperacidity and diarrhea. Some may have to undergo endoscopic retrograde cholangiopancreatography (ERCP) to help diagnostics or give relief. ERCP is carried out by inserting a thin tube into the mouth down to the esophagus and stomach until the gall bladder area is notactive.