Postcholecystectomy syndrome is a variety of painful manifestations that are observed after removal of the gallbladder.
Postcholecystectomy syndrome is not an independent disease. OH may occur almost immediately after surgery or delayed after several months or years. It is believed that the main cause of the postcholecystectomy syndrome
is the violation of bile circulation. However, there are other possible reasons.
Postcholecystectomy Syndrome Symptoms
heaviness and dull pain in the right hypochondrium;
intolerance to fatty foods
Signs of postcholecystectomy syndrome appear at various times after the operation. Symptoms may be unstable.
Postcholecystectomy Syndrome Diagnostics
If you are suspected of manifestations of this syndrome, you should see a doctor as soon as possible. It is advisable if you contact the surgeon who performed the operation.
The doctor will ask you about the complaints, conduct an examination with palpation of the abdomen. Of the additional research methods, you can be assigned:
– ultrasound examination of the abdominal cavity;
– general and biochemical blood test ;
– intravenous cholangiography;
– esophagogastroduodenoscopy for examination of the stomach, duodenum and the area of the pharyngeal papilla;
– Retrograde cholangiopancreatography.
After removing the gallbladder
, you must carefully follow a diet with a restriction of fat. The matter is that the gallbladder is a reservoir for bile, which is produced by the liver. From the gallbladder
, bile enters the intestines in separate portions. In the absence of the gallbladder, bile enters the intestine constantly, but in small amounts. That is why it may not be enough to digest fatty foods. The treatment of postcholecystectomy syndrome
depends on the revealed violations that led to it. Typically, the patient is recommended a dietary table with the restriction of fatty foods,
enzyme preparations, antispasmodics
, sometimes cholagogue.
In some cases, repeated surgery may be required to eliminate or correct the existing changes.