[Principles of treating the postcholecystectomy syndrome]

The experience with treatment in the Institute of Clinical and Experimental Surgery of 3572 patients with postcholecystectomy syndrome in the period from 1971 to 1987 is summarized. Two-dimension ultrasonography, intravenous infusion, retrograde endoscopic, percutaneous transhepatic cholangiography and fistulocholangiography were the main diagnostic procedures. In choledocholithiasis, the endoscopic papillosphincterotomy was performed. Tubular stenosis of the common bile duct was considered an indication for choledochoduodenoanastomosis formation. In bile duct strictures, biliobiliary and biliodigestive anastomoses were created. With the aim of prophylaxis of anastomotic stenoses, the active dilatation of anastomoses was employed. In duodenostasis, surgical correction was accomplished with regard for its causes and degree of pronouncement, character and severity of the related complications.