Postcholecystectomy syndrome

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Postcholecystectomy syndrome
Classification and external resources
ICD-10K91.5
ICD-9576.0
 
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Postcholecystectomy syndrome
Classification and external resources
ICD-10K91.5
ICD-9576.0

Postcholecystectomy syndrome (PCS) describes the presence of abdominal symptoms after surgical removal of the gallbladder (Cholecystectomy).

Symptoms of postcholecystectomy syndrome may include:

Symptoms occur in about 5 to 40 percent of patients who undergo cholecystectomy. [2]

The pain associated with post-cholecystectomy syndrome is usually ascribed to either sphincter of Oddi dysfunction or to post-surgical adhesions. [3]

Approximately 50% of cases are due to biliary causes such as remaining stone, biliary injury, dysmotility and choledococyst. The remaining 50% are due to non-biliary causes. This is because upper abdominal pain and gallstones are both common but are not always related.

References

  1. ^ Womack NA, Crider RL (1947). "The Persistence of Symptoms Following Cholecystectomy". Ann. Surg. 126 (1): 31–55. doi:10.1097/00000658-194707000-00004. PMC 1803303. PMID 17858976. //www.ncbi.nlm.nih.gov/pmc/articles/PMC1803303/. 
  2. ^ "Postcholecystectomy syndrome". WebMD. http://www.webmd.com/hw-popup/Postcholecystectomy-syndrome. Retrieved 2009-03-07. 
  3. ^ Hyvärinen H, Sipponen P, Silvennoinen E (December 1990). "Intestinal adhesions: an overlooked cause of the postcholecystectomy syndrome". Hepatogastroenterology 37 (Suppl 2): 58–61. PMID 2083937.