Postcholecystectomy syndrome: Difference between revisions
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==Historical Perspective== | ==Historical Perspective== | ||
In 1960, Freud M, gastroenterologist, surveyed 114 Postcholecystectomy patients and found 93% had pain, jaundice in 24% and 38% had fever.<ref name="pmid13824916">{{cite journal| author=FREUD M, DJALDETTI M, DE VRIES A, LEFFKOWITZ M| title=Postcholecystectomy syndrome: a survey of 114 patients after biliary tract surgery. | journal=Gastroenterologia | year= 1960 | volume= 93 | issue= | pages= 288-93 | pmid=13824916 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13824916 }}</ref> | |||
==Classification== | ==Classification== | ||
Revision as of 16:40, 12 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
In 1960, Freud M, gastroenterologist, surveyed 114 Postcholecystectomy patients and found 93% had pain, jaundice in 24% and 38% had fever.[2]
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
| 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 | ||||||||||||||||||||||||||||||||||||||||||||||
Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Prevention
References
- ↑ Womack, NA (1947). "The Persistence of Symptoms following Cholecystectomy". Annals of Surgery. 126: 31–55. Unknown parameter
|coauthors=ignored (help) - ↑ FREUD M, DJALDETTI M, DE VRIES A, LEFFKOWITZ M (1960). "Postcholecystectomy syndrome: a survey of 114 patients after biliary tract surgery". Gastroenterologia. 93: 288–93. PMID 13824916.