Postcholecystectomy syndrome: Difference between revisions
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==Overview== | ==Overview== | ||
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===History and Symptoms=== | ===History and Symptoms=== | ||
===Physical Examination=== | ===Physical Examination=== | ||
===Laboratory Findings=== | ===Laboratory Findings=== | ||
{{familytree/start|summary=Algorithm for screening and managmemnt of Postcholecystectomy syndrome.}} | |||
{{familytree| | | | | | | | | | | | |A01| | | | | | | | | |A01=Post cholecystectomy pain}} | |||
{{familytree| | | | | | | | | | | | | |!| | | | | | | | | |}} | |||
{{familytree| | | | | | | | | | | | |B01| | | | | | | | | |B01=History & Physical Examination }} | |||
{{familytree| | | | | | | | | | | | | |!| | | | | | | | | |}} | |||
{{familytree| | | | | | | | | | | | |C01| | | | | | | | | |C01=Lab CBC LFT Serum amylase lipase}} | |||
{{familytree| | | | | | | | | | | | | |!| | | | | | | | | |}} | |||
{{familytree| | | | | | | | | | | | |D01| | | | | | | | | |D01=Transabdominal ultrasound<br>TUS}} | |||
{{familytree| | | | | |,|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|.| |}} | |||
{{familytree| | | | |E01 | | E02 | | E03 | | E04 | | E05 |E01=Normal TUS & LFT|E02=TUS CBD>10mm &/or abnormal LFT|E03=TUS with stones|E04=Biloma|E05=Abcess}} | |||
{{familytree| | | | | |!| | | |!| | | |!| | |,|^|-|-|.|!|}} | |||
{{familytree| | | | |F01 | | F02 |-| F03|-|'| | | |F04|F01=Workup for non-bilary causes|F02=endoscopic US|F03=ERCP|F04=Percutenous drainage}} | |||
{{familytree| | | | | | | | | |!| | | |!| | | | | | | | | |}} | |||
{{familytree| | | | | | | | | G01 | | G02 | | | | | | |G01=Workup for non-bilary causes|G02=If stone:<br>removal of stone with sphincterotomy<br>If no stone:<br>manomatery with or without sphincterotomy}} | |||
===Imaging Findings=== | ===Imaging Findings=== | ||
Revision as of 16:15, 11 December 2017
Postcholecystectomy syndrome | |
ICD-10 | K91.5 |
---|---|
ICD-9 | 576.0 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
The term Postcholecystectomy syndrome (PCS) describes the presence of abdominal symptoms after surgery to remove the gallbladder (Cholecystectomy). Symptoms include gastrointestinal distress and persistent pain in the upper right abdomen. [1]
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Postcholecystectomy syndrome from Other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Natural History
Complications
Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Prevention
References
Post cholecystectomy pain | |||||||||||||||||||||||||||||||||||||||||||||||
History & Physical Examination | |||||||||||||||||||||||||||||||||||||||||||||||
Lab CBC LFT Serum amylase lipase | |||||||||||||||||||||||||||||||||||||||||||||||
Transabdominal ultrasound TUS | |||||||||||||||||||||||||||||||||||||||||||||||
Normal TUS & LFT | TUS CBD>10mm &/or abnormal LFT | TUS with stones | Biloma | Abcess | |||||||||||||||||||||||||||||||||||||||||||
Workup for non-bilary causes | endoscopic US | ERCP | Percutenous drainage | ||||||||||||||||||||||||||||||||||||||||||||
Workup for non-bilary causes | If stone: removal of stone with sphincterotomy If no stone: manomatery with or without sphincterotomy | ||||||||||||||||||||||||||||||||||||||||||||||