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

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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

  1. Womack, NA (1947). "The Persistence of Symptoms following Cholecystectomy". Annals of Surgery. 126: 31–55. Unknown parameter |coauthors= ignored (help)

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Template:WikiDoc Sources

 
 
 
 
 
 
 
 
 
 
 
 
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