Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy. SeHCAT or other test for bile acid diarrhea.Analysis of biliary sludge obtained through endoscopic retrograde cholangiopancreatography (ERCP). Esophagogastroduodenoscopy for examination of the stomach, duodenum and the area major duodenal papilla.Persistent pain in the upper right abdomen.Symptoms of postcholecystectomy syndrome may include: This can be treated with a bile acid sequestrant like cholestyramine, colestipol or colesevelam, which may be better tolerated. Ĭhronic diarrhea in postcholecystectomy syndrome is a type of bile acid diarrhea (type 3). Non-biliary causes of PCS may be caused by a functional gastrointestinal disorder, such as functional dyspepsia. This is because upper abdominal pain and gallstones are both common but are not always related. The remaining 50% are due to non-biliary causes. Approximately 50% of cases are due to biliary causes such as remaining stone, biliary injury, dysmotility and choledococyst. A recent 2008 study shows that postcholecystectomy syndrome can be caused by biliary microlithiasis. The pain associated with postcholecystectomy syndrome is usually ascribed to either sphincter of Oddi dysfunction or to post-surgical adhesions. The chronic condition is diagnosed in approximately 10% of postcholecystectomy cases. Symptoms occur in about 5 to 40 percent of patients who undergo cholecystectomy, and can be transient, persistent or lifelong. Postcholecystectomy syndrome ( PCS) describes the presence of abdominal symptoms after a cholecystectomy (gallbladder removal). Medical condition Postcholecystectomy syndrome
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