What's the post cholecystectomy syndrome like

summary

Because of the condition of the disease, my friend had cholecystectomy surgery. Soon after, he had abdominal discomfort and nausea. The examination was the syndrome after cholecystectomy. Now I'd like to introduce to you how the syndrome after cholecystectomy is going on?

What's the post cholecystectomy syndrome like

First, PCs is a clinical syndrome related to biliary diseases after cholecystectomy. Also known as cholecystectomy sequelae, recurrent biliary syndrome. It is generally believed that after cholecystectomy, less than one third of the patients may have transient symptoms, which can disappear quickly. Less than 10% of the patients may need active treatment because of the persistent symptoms.

Secondly, in a few weeks or months after cholecystectomy, there is pain and discomfort in the upper abdomen or right quarter rib, often dull or dull pain, with a sense of oppression. In severe cases, it can spread upward due to biliary tract infection, with chills, high fever and jaundice. Its nature is different from preoperative biliary colic, which may be accompanied by anorexia, nausea, abdominal distension, occasionally bile duct spasm and colic attack. It is related to eating, especially high-fat diet.

Finally, in the case of abnormal conditions, timely to the regular hospital for examination, especially according to their own symptoms to diagnose, according to the history (gallbladder, bile duct or stomach, duodenum surgery history), postoperative fever, abdominal pain and jaundice, supplemented by B-mode ultrasound, CT, endoscopy, cholangiography, ERCP or PTC, fnptc, that should be considered Postoperative bile duct stones, bile duct stricture may occur. Morphine neostigmine provocation test can be performed in patients with suspected Oddi sphincter stenosis or dysfunction. After ERCP and fnptc examination, there were still a few patients with unknown causes and difficult diagnosis.

matters needing attention

After the operation treatment of cholecystectomy, we should prevent the syndrome after cholecystectomy, and also find and treat it early. We should actively carry out the combination of Chinese and Western medicine in the treatment of biliary diseases, master the operation indications, reduce the emergency biliary surgery as much as possible, and choose a good operation method.