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[Postcholecystectomy syndrome after simple cholecystectomy].

J M Rothenbühler, J P Chevalley, M Famos

    Helvetica Chirurgica Acta
    |June 1, 1989
    PubMed
    Summary

    Long-term follow-up of simple cholecystectomy patients revealed that 37.4% experienced postoperative abdominal pain. While most cases lacked organic causes, scar issues and extrabiliary disorders were common, with rare bilio-pancreatic issues requiring reoperation.

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    [laparoscopic cholecystectomy and acute cholecystitis--feasibility and morbidity].

    Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera·1996

    Area of Science:

    • Gastroenterology and Hepatobiliary Surgery
    • Surgical Outcomes Research

    Context:

    • Assesses long-term outcomes of simple cholecystectomy performed between 1970 and 1979.
    • Focuses on postoperative abdominal pain and biliary tract reoperations in a cohort of 1539 patients.

    Purpose:

    • To determine the incidence and causes of postoperative abdominal pain after simple cholecystectomy.
    • To investigate the incidence and etiology of biliary tract reoperations in the long term.

    Summary:

    • A long-term follow-up of 875 patients (68.8% of the original cohort) revealed 37.4% symptomatic patients.
    • The majority of symptomatic cases lacked an identifiable organic cause.
    • Major identified organic causes included scar problems and extrabiliary disorders; though rare, bilio-pancreatic disturbances frequently necessitated reintervention.

    Impact:

    • Highlights the significant incidence of long-term abdominal pain post-cholecystectomy, often without clear organic etiology.
    • Underscores the importance of considering scar-related and extrabiliary factors in persistent pain.
    • Emphasizes that while uncommon, bilio-pancreatic issues post-cholecystectomy are serious and often require reoperation.

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