Postcholecystectomy syndrome after laparoscopic cholecystectomy: A single center experience from Eastern India

Authors

  • Deepak Kumar
  • Rajeev Kumar
  • Annu Babu
  • R N Jha

Keywords:

Calculus, Laparoscopic, Postcholecystectomy syndrome

Abstract

Introduction: Postcholecystectomy syndrome (PCS) is a group of gastrointestinal symptoms after laparoscopic cholecystectomy. This is retrospective review of occurrence and factors for PCS in a single center from Eastern India. Material and Methods: A total of 200 successive patients postlaparoscopic cholecystectomy were reviewed. Follow-up of cases were made by personal interview and examination either at the hospitals or the residence, information collected from the relatives and by correspondence. Results: About 40 developed PCS and were subsequently managed. Females outnumbered males both in total number of cholecystectomy and occurrence of PCS. Most of the patients were <50 years old. 36 patients of the total 40 patients of PCS had calculus. Pain was the most common symptom followed by nausea-vomiting and Jaundice. 9 patients had stone in common bile duct (CBD), while 4 patients had CBD stricture and 3 patients had biliary fistula. 22 patients were managed conservatively, while 18 patients were managed operatively. Relief or cure offered by conservative and operative treatment was found in 32 cases (80%) of the present series. One case (2.5%) of the present series died on conservative treatment, whereas there were two deaths (5%) after surgery. Conclusions: PCS is an important post-treatment morbid condition which is often overlooked. Advanced investigative techniques, correct diagnosis and meticulous surgery will certainly bring down this undesired PCS and finally wipe it out completely.

Downloads

Download data is not yet available.

Downloads

Published

2017-11-14

Issue

Section

Original Article

How to Cite

Postcholecystectomy syndrome after laparoscopic cholecystectomy: A single center experience from Eastern India. (2017). Eastern Journal of Medical Sciences, 2(2), 25-28. https://mansapublishers.com/index.php/ejms/article/view/89

Most read articles by the same author(s)

<< < 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 > >>