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Postcholecystectomy syndrome

  • Current Gastroenterology
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The American Journal of Digestive Diseases Aims and scope Submit manuscript

Conclusions

“Postcholecystectomy syndrome” is a loosely-used, nonspecific clinical term that refers broadly to a variety of symptoms of different causes that may appear in patients who have undergone cholecystectomy.

Proper evaluation of this syndrome requires diligent assessment of the symptoms and painstaking investigation for possible causes. In some cases, the true situation may not become evident until surgical exploration is carried out, and occasionally not even then.

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References

  1. McHardy, G. G. Postcholecystectomy syndrome. InDisturbances in Gastrointestinal Motility, Thomas, Springfield, III., 1959, p. 194.

    Google Scholar 

  2. Berk, J. E. General considerations of gallbladder and biliary tract disorders. InDisturbances in Gastrointestinal Motolity, Thomas, Springfield, III., 1959, p. 123.

    Google Scholar 

  3. Hinkel, C. L., andMiller, G. A. Correlation of symptoms, age, sex, and habitus with cholecystographic findings in 1,000 consecutive examinations.Gastroenterology 32:807, 1957.

    PubMed  Google Scholar 

  4. Garlock, J. H., andHurwitt, E. S. Cystic duct syndrome.Surgery 29:833, 1951.

    PubMed  Google Scholar 

  5. Morton, C. B., II. Post-cholecystectomy symptoms from cystic duct remnants.Ann. Surg. 139:679, 1954.

    PubMed  Google Scholar 

  6. Glenn, F., andJohnson, G., Jr. Cystic duct remnant; a sequela of incomplete cholecystectomy.Surg. Gynec. & Obst. 101:331, 1955.

    Google Scholar 

  7. Larmi, T. K. I., andFock, G. Cystic duct remnant; a cause of biliary distress following incomplete cholecystectomy.Acta chir. scandinav. 114:361, 1958.

    Google Scholar 

  8. Feldman, M. Postcholecystectomy syndrome; with special reference to the cystic duct remnant.Gastroenterology 34:239, 1958.

    PubMed  Google Scholar 

  9. Berk, J. E., andLee, R. N. Intravenous cholangiography in detection of stone-bearing cystic-duct remnants (so-called re-formed gallbladders).Am. J. Digest. Dis. 3:220, 1958.

    PubMed  Google Scholar 

  10. McClenahan, J. E., Evans, J. A., andBraunstein, P. W. Intravenous cholangiography in the postcholecystectomy syndrome.J.A.M.A. 159:1353, 1955.

    Google Scholar 

  11. Hicken, N. F., McAllister, A. J., andCall, D. W. Residual choledochal stones; etiology and complications in one hundred ten cases.A.M.A. Arch. Surg. 68:643, 1954.

    Google Scholar 

  12. Bartlett, M. K., andQulnby, W. C., Jr. Surgery of the biliary tract. III. Secondary operations on the common bile duct.New England J. Med. 256:11, 1957.

    Google Scholar 

  13. Smith, S. W., Engel, C., Averbook, B., andLongmire, W. P., Jr. Problems of retained and recurrent common bile duct stones.J.A.M.A. 164:231, 1957.

    Google Scholar 

  14. Hicken, N. F., McAllister, A. J., andWalker, G. The problem of retained common duct stones.Am. J. Surg. 97:173, 1959.

    PubMed  Google Scholar 

  15. Berk, J. E. Choledocholithiasis.Am. J. Surg. 55:96, 1942.

    Google Scholar 

  16. Bockus, H. L. So-called postcholecystectomy syndrome. InPostgraduate Gastroenterology, ed. by H. L. Bockus. Saunders, Philadelphia, 1950, p. 561.

    Google Scholar 

  17. Johnson, G. Relative diagnostic significance of bilirubin and phosphatase values in the postcholecystectomy syndrome.Acta chir. scandinav. 115:299, 1958.

    Google Scholar 

  18. Block, M. A., Brush, B. E., Ponka, J. L., andPriest, R. J. The diagnosis of postcholecystectomy biliary tract stones; a comparison of biliary drainage and intravenous cholangiography.A.M.A. Arch. Surg. 73:694, 1956.

    Google Scholar 

  19. Twiss, J. R., Bernanbaum, S. A., Gillette, L., andPoppel, M. H. Post-cholecystectomy oral cholangiography; a preliminary report.Am. J. M. Sc. 227:372, 1954.

    PubMed  Google Scholar 

  20. Salzman, E., Watkins, D. H., andRundeles, W. R. Opacification of radiolucent biliary calculi.J.A.M.A. 167:1741, 1958.

    Google Scholar 

  21. Berk, J. E., andFeigelson, H. H. The current status of intravenous cholecvstography and cholangiography.South M. J. 50:421, 1957.

    PubMed  Google Scholar 

  22. Remolar, J., Katz, S., Rybak, B., andPellizari, O. Percutaneous transhepatic cholangiography.Gastroenterology 31:39, 1956.

    PubMed  Google Scholar 

  23. Hicken, N. F., White, L. B., andCoray, Q. B. External biliary fistulas; a study of 23 cases.Surg. Gynec. & Obst. 74:828, 1942.

    Google Scholar 

  24. Johnson, V. E., Ellenbogen, L. S., andGruhler, J. A. Cholangiography through biliary fistulae with report of two cases.J. M. Soc. New Jersey 46:477, 1949.

    Google Scholar 

  25. Donaldson, G. A., Allen, A. W., andBartlett, M. K. Postoperative bile-duct strictures; their etiology and treatment.New England J. Med. 254:50, 1956.

    Google Scholar 

  26. Cattell, R. B., andBraasch, J. W. Strictures of the bile duct.S. Clin. North America 38:645, 1958.

    Google Scholar 

  27. Berk, J. E. Diagnostic features of pancreatic disease.J.A.M.A. 159:1079, 1955.

    Google Scholar 

  28. Block, M. A., Brush, B. E., Ponka, J. L., andChepeau, A. Stenosis of the sphincter of Oddi as a cause of jaundice.A.M.A. Arch. Surg. 76:888, 1958.

    Google Scholar 

  29. Cattell, R. B., Colcock, B. P., andPollack, J. L. Stenosis of the sphincter of Oddi.New England J. Med. 256:429, 1957.

    Google Scholar 

  30. Colcock, B. P. Stenosis of the sphincter of Oddi.S. Clin. North America 38:631, 1958.

    Google Scholar 

  31. Wise, R. E., andO'Brien, R. G. Interpretation of the intravenous cholangiogram.J.A.M.A. 160:819, 1956.

    Google Scholar 

  32. Wall, C. A., andPeartree, S. P. Practical value of operative cholangiography.J.A.M.A. 164:236, 1957.

    Google Scholar 

  33. Smith, M. L., andSantos, M. Biliary radiomanometry.U. S. Armed Forces M. J. 8:481, 1957.

    PubMed  Google Scholar 

  34. Mallet-Guy, P., andRose, J. D. Preoperative manometry and radiology in biliary tract disorders.Brit. J. Surg. 44:55, 1956.

    PubMed  Google Scholar 

  35. Rose, J. D. Newer methods of diagnosis and treatment of biliary dyskinesia. InDisturbances in Gastrointestinal Motility. Thomas, Springfield. Ill., 1959, p. 156.

    Google Scholar 

  36. Puestow, C. B. The discharge of bile into the duodenum; experimental study.A.M.A. Arch. Surg. 23:1013, 1931.

    Google Scholar 

  37. Pribram, B. O. C. Postcholecystectomy syndromes.J.A.M.A. 142:1262, 1950.

    Google Scholar 

  38. Twiss, J. R., andOppenheim, E. Practical Management of Disorders of the Liver, Pancreas, and Biliary Tract. Lea, Philadelphia, 1955, pp. 196.

    Google Scholar 

  39. Rose, J. D. Biliary vesicular stasis.Lancet 1:1356, 1958.

    PubMed  Google Scholar 

  40. Bockus, H. L., andDozzi, D. L. The persistence of symptoms after gallbladder operation. InGastro-Enterology, vol. 3 ed. by H. L. Bockus. Saunders, Philadelphia, 1946, p. 616.

    Google Scholar 

  41. Bachrach, W. H., Smith, J. L., andHalsted, J. A. Spasm of the choledochal sphincter accompanying sudden stress.Gastroenterology 22:604, 1952.

    PubMed  Google Scholar 

  42. Snape, W. J., Friedman, M. H. F., andSwenson, P. C. Correlation between cholecystogram and secretin test for gallbladder function.Am. J. M. Sc. 216:188, 1948.

    Google Scholar 

  43. Dreiling, D., andHollander, F. Studies in pancreatic function: I. Preliminary series of clinical studies with secretin test.Gastroenterology 11:714, 1948.

    Google Scholar 

  44. Lans, H. S., Stein, I. F., Jr., andMeyer, K. A. Function tests in diagnosis of biliary tract disease using sodium dehydrocholate or secretin.Gastroenterology 18:64, 1951.

    PubMed  Google Scholar 

  45. Gambescia, J. M., Thompson, C. M., Ulin, A., andShumaker, W. The use of sodium dehydrocholate in the diagnosis of biliary tract disease; a preliminary report.Am. J. M. Sc. 225:465, 1953.

    Google Scholar 

  46. Sklaroff, D. M., Cohn, E. M., Orloff, T. L., andGershon-Cohen, J. The common bile duct in the postcholecystectomy patient.A.M.A. Arch. Surg. 70:559, 1955.

    Google Scholar 

  47. Cohn, E. M., Orloff, T. L., Sklaroff, D., andGershon-Cohen, J. The use of cholografin in the postcholecystectomy syndrome.Ann. Int. Med. 42:59, 1955.

    PubMed  Google Scholar 

  48. Doubilet, H., andMulholland, J. H. Recurrent acute pancreatitis; observations on etiology and surgical treatment.A.M.A. Ann. Surg. 128:609, 1948.

    Google Scholar 

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Authors and Affiliations

  1. From the Departments of Medicine, Sinai Hospital of Detroit and the Wayne State University College of Medicine, Detroit, Mich

    J. Edward Berk M.D.

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  1. J. Edward Berk M.D.
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Edward Berk, J. Postcholecystectomy syndrome. Digest Dis Sci 6, 1002–1016 (1961). https://doi.org/10.1007/BF02231431

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