What are the complications after cholecystectomy

summary

A friend got cholecystitis disease, usually there will be abdominal discomfort or pain feeling, later thought of the hospital to do cholecystectomy, then, what are the complications after cholecystectomy? Let's talk about it.

What are the complications after cholecystectomy

In normal condition, the smooth muscle of biliary tract is regulated by nerve and body fluid. Gastrointestinal hormone and nerve impulse regulate the contraction and relaxation of different parts of biliary tract harmoniously. For example, after eating, the smooth muscle of gallbladder contracts and sphincter of Oddi relaxes, which promotes bile to enter duodenum and participate in digestion. After cholecystectomy, this balance is destroyed. Most patients are able to adapt and compensate for this balance through neurohumoral mechanisms. It is difficult for a few patients to adapt. Some examinations found that the pressure of Oddi sphincter increased and the frequency of contraction accelerated. After eating, the secretion of gastrointestinal hormones is increased without feedback inhibition, resulting in abnormal contraction or spasm of bile duct smooth muscle and abdominal pain. The symptoms of these patients will disappear after taking anti-inflammatory and cholagogic drugs.

Second, the main cause of residual stones in the common bile duct is missed diagnosis before operation, followed by gallstones sliding into the common bile duct or stones in the liver discharging into the common bile duct during operation. MRCP and ERCP are the best methods for the diagnosis of patients with suspected choledocholithiasis, who have not been found before and during operation, and who have biliary colic, jaundice, fever and chancut triad after operation. Once the diagnosis is confirmed, the best method is endoscopic papillotomy (EST) to remove the stone, otherwise it needs to be operated again.

Complications: duodenogastric reflux, no peptic ulcer, gastritis, esophagitis before cholecystectomy, and postoperative burning sensation under xiphoid process, belching, epigastric pain and discomfort may be caused by duodenogastric reflux. The change of gastrointestinal dynamics after cholecystectomy is one of the main reasons for duodenogastric reflux, such a situation is rare Now the use of gastrointestinal motility drug treatment is effective.

matters needing attention

After the treatment of cholecystectomy, we should pay attention to the usual conditioning, especially to have reasonable living habits, and also pay attention to the daily diet, avoid tired, greasy diet, and see a doctor in time.