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Postcholecystectomy

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Clinical Algorithms in General Surgery

Abstract

After a cholecystectomy, a patient may complain of pain originating in the epigastric or right upper quadrant. It is important to work up the etiology of the pain if there is a biloma, retained stone, or sphincter dysfunction. Treatment will vary depending on the etiology.

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References

  1. Ahmad F, Saunders RN, Lloyd GM, Lloyd DM, Robertson GS. An algorithm for the management of bile leak following laparoscopic cholecystectomy. Ann R Coll Surg Engl. 2007;89:51–6.

    Article  CAS  Google Scholar 

  2. De Palma GD, Galloro G, Iuliano G, Puzziello A, Persico F, Masone S, et al. Leaks from laparoscopic cholecystectomy. Hepato-Gastroenterology. 2002;49:924–5.

    PubMed  Google Scholar 

  3. Woods MS, Shellito JL, Santoscoy GS, et al. Cystic duct leaks in laparoscopic cholecystectomy. Am J Surg. 1994;168(6):560–3.

    Article  CAS  Google Scholar 

  4. Eisenstein S, Greenstein AJ, Kim U, Divino CM. Cystic duct stump leaks after the learning curve. Arch Surg. 2008;143(12):1178–83.

    Article  Google Scholar 

  5. Machado NO. Biliary complications post laparoscopic cholecystectomy: mechanism, preventive measures, and approach to management: a review. Diagn Ther Endosc. 2011;2011 Article ID 967017, 9 pages.

    Google Scholar 

  6. Rogoveanu I, Gheonea DI, Saftoiu A, Ciurea T. The role of imaging methods in identifying the causes of extrahepatic cholestasis. J Gastrointestin Liver Dis. 2006;15:265–71.

    PubMed  Google Scholar 

  7. Schmidt SC, Langrehr JM, Hintze RE, Neuhaus P. Long-term results and risk factors influencing outcome of major bile duct injuries following cholecystectomy. Br J Surg. 2005;92(1):76–82.

    Article  CAS  Google Scholar 

  8. Sandha GS, Bourke MJ, Haber GB, Kortan PP. Endoscopic therapy for bile leak based on a new classification: results in 207 patients. Gastrointest Endosc. 2004;60(4):567–74.

    Article  Google Scholar 

  9. Tse F, Barkun JS, Romagnulo J, Friedman G, Bornstein JD, Barkun AN. Nonoperative imaging techniques in suspected biliary tract obstruction. HPB (Oxford). 2006;8:409–25.

    Article  Google Scholar 

  10. Bistritz L, Bain VG. Sphincter of Oddi dysfunction: managing the patient with chronic biliary pain. World J Gastroenterol: WJG. 2006;12(24):3793–802.

    Article  Google Scholar 

  11. Kaffes AJ, Hourigan L, De Luca N, Byth K, Williams SJ, Bourke MJ. Impact of endoscopic intervention in 100 patients with suspected postcholecystectomy bile leak. Gastrointest Endosc. 2005;61(2):269–75.

    Article  Google Scholar 

  12. Festekjian JH, Hassantash SA, Taylor EW. Abdominal wall biloma: an unusual complication of laparoscopic cholecystectomy. JSLS. 1997;1:353–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Nunez D Jr, Becerra JL, Martin LC. Subhepatic collections complicating laparoscopic cholecystectomy: percutaneous management. Abdom Imaging. 1994;19:248–50.

    Article  Google Scholar 

  14. Sammak BM, Yousef BA, Gali MH, al Karawi MA, Mohamed AE. Case report: radiological and endoscopic management of bile leak following laparoscopic chole-cystectomy. J Gastroenterol Hepatol. 1997;12:34–8.

    Article  CAS  Google Scholar 

  15. Pavlidis TE, Atmatzidis KS, Papaziogas BT, et al. Biloma after laparoscopic cholecystectomy. Ann Gastroenterol. 2002;15:178–80.

    Google Scholar 

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Correspondence to Chanak J. Chantachote .

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Chantachote, C.J., Sbayi, S. (2019). Postcholecystectomy. In: Docimo Jr., S., Pauli, E. (eds) Clinical Algorithms in General Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-98497-1_86

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  • DOI: https://doi.org/10.1007/978-3-319-98497-1_86

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98496-4

  • Online ISBN: 978-3-319-98497-1

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