China
Africa
Explore chapters and articles related to this topic
General Surgery
Published in Kristen Davies, Shadaba Ahmed, Core Conditions for Medical and Surgical Finals, 2020
Specific complications of a cholecystectomy include: Bleeding from the cystic or hepatic arteryBile leakageBile duct injuryDamage to the intestinePostcholecystectomy syndrome (abdominal pain, dyspepsia, diarrhoea), which is thought to be secondary to retained small gallstones or sphincter of Oddi dysfunction
The Gallbladder and Bile Ducts
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
In up to 15% of patients, cholecystectomy fails to relieve the symptoms for which the operation was performed. Such patients may be considered to have a ‘post-cholecystectomy’ syndrome. However, such problems are usually related to the preoperative symptoms and are merely a continuation of those symptoms. Full investigation should be undertaken to confirm the diagnosis and exclude the presence of a stone in the bile duct, a stone in the cystic duct stump or operative damage to the biliary tree. This is best performed by MRCP or ERCP, the latter of which has the added advantage that if a stone is in the common bile duct it can be removed.
History-taking model
Published in Kaji Sritharan, Vivian A Elwell, Sachi Sivananthan, Essential OSCE Topics for Medical and Surgical Finals, 2007
Kaji Sritharan, Vivian A Elwell, Sachi Sivananthan
Specific risks of the procedureConversion to an open procedure (3% of cases) due to technical difficulties, when a larger incision (10-20 cm) will be made under the ribcage.Damage to the common bile duct (1 in 400 cases).Pain (shoulder tip pain due to pneumoperitoneum, which usually settles within 24 hours).Bleeding.Wound infection.Paraumbilical/incisional hernia.Stones in the common bile duct and jaundice.Post-cholecystectomy syndrome (bloating, abdominal pain and diarrhoea).General complications include urinary tract infection, chest infections, deep vein thrombosis and pulmonary embolism.
Cholecystectomy-induced secondary bile acids accumulation ameliorates colitis through inhibiting monocyte/macrophage recruitment
Published in Gut Microbes, 2022
Yun Liu, Jun Xu, Xinhua Ren, Yu Zhang, Ziliang Ke, Jianhua Zhou, Yang Wang, Yifan Zhang, Yulan Liu
Cholecystectomy is the most common operation in biliary surgery; however, post-cholecystectomy (PC) patients have higher risks of post cholecystectomy syndrome and even colorectal cancer (CRC) in long-term outcomes.1,2 The persistence of gastrointestinal symptoms following cholecystectomy (post-cholecystectomy syndrome) may occur in 5 ~ 47% of patients.2,3 Cholecystectomy also induced intestinal bacterial and bile acids dysbiosis.4,5 Even so, few studies reported the association between cholecystectomy and IBD. In a population-based cohort study, the risk of IBD did not change significantly between the PC patients and healthy controls (0.062% vs 0.051%).6 The mentioned results are limited to illustrating the role of cholecystectomy in the occurrence of IBD.
The postcholecystectomy syndrome in morbid obesity
Published in Baylor University Medical Center Proceedings, 2020
Cindy Ng, Michelle Ejimakor, Tove M. Goldson, Samuel N. Forjuoh
Cholelithiasis and/or choledocholithiasis are possible sequelae following gallbladder removal. Residual gallbladder from an incomplete cholecystectomy is a possible etiology, due to retained or regenerated stones.2,3,6 Symptoms may present as right upper quadrant abdominal pain or most commonly dyspepsia and may or may not include jaundice. This phenomenon can be referred to as postcholecystectomy syndrome, which occurs in 5% to 40% of patients, with onset ranging from 2 days to 40 years after a cholecystectomy.7–9 Gender-specific risk factors may contribute to the development of these symptoms.10 Biliary factors include choledocholithiasis, biliary stricture, and sphincter of Oddi dysfunction.5,6 Nonbiliary factors include pancreatic disorders, peptic ulcer, liver disease, irritable bowel syndrome, coronary artery disease, and gastroesophageal reflux.2,4
Patient-specific fluid–structure interaction model of bile flow: comparison between 1-way and 2-way algorithms
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2021
Alex G. Kuchumov, Vasily Vedeneev, Vladimir Samartsev, Aleksandr Khairulin, Oleg Ivanov
Moreover, it should be noticed that gallbladder absence due to cholecystectomy may lead to different pressure-related complications: sphincter of Oddi disorders (Tanaka et al. 1984), dilatation of the common bile duct (Lv et al. 2015), post-cholecystectomy syndrome (Benias et al. 2018).