Postcholecystectomy syndrome

Postcholecystectomy syndrome
ICD-10	K91.5
ICD-9	576.0

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List of terms related to Postcholecystectomy syndrome

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.

Historical Perspective

In 1960, Freud M, gastroenterologist, surveyed 114 Postcholecystectomy patients and found 93% had pain, jaundice in 24% and 38% had fever.

Diagnosis

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

References

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