Post cholecystectomy syndrome: an out of date topic?
The post-cholecystectomy syndrome, whose finding is always possible, apart of cases of biliary tract iatrogenic injuries (stenosis or leakages), is related to a residual cystic stump lithiasis or more often related to a synchronous main bile duct disease (lithiasis and/or oddities) that could be prevented by pre- or intra-operative cholangiography. The clinical suspect of those conditions should be confirmed by cholangio-MRI. The treatment of main bile duct lithiasic disease is essentially endoscopical. The treatment of the remnant stump lithiasis-flogosis could be performed by laparoscopic or more often by laparotomic surgery because of post-operative flogistic adhesions, especially if an open cholecystectomy has been already performed.
Cavallaro
Andrea
A
University of Catania, Italy. andrea-cavallaro@tiscali.it
Cavallaro
Vincenzo
V
Trainiti
Mario
M
Licciardello
Alessio
A
Cappellani
Alessandro
A
D002763:Cholecystectomy / Q000009:adverse effects*; D005705:Gallbladder Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013577:Syndrome; D055815:Young Adult