Advertisement

Postcholecystectomy

  • Chanak J. ChantachoteEmail author
  • Samer Sbayi
Chapter

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.

Keywords

Postcholecystectomy pain Choledocholithiaisis Cystic duct stump leak Biliary leak Sphincter of Oddi dysfunction Cholecystectomy Biloma ERCP Dyspepsia Gallstones 

References

  1. 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.CrossRefGoogle Scholar
  2. 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.PubMedGoogle Scholar
  3. 3.
    Woods MS, Shellito JL, Santoscoy GS, et al. Cystic duct leaks in laparoscopic cholecystectomy. Am J Surg. 1994;168(6):560–3.CrossRefGoogle Scholar
  4. 4.
    Eisenstein S, Greenstein AJ, Kim U, Divino CM. Cystic duct stump leaks after the learning curve. Arch Surg. 2008;143(12):1178–83.CrossRefGoogle Scholar
  5. 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. 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.PubMedGoogle Scholar
  7. 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.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.CrossRefGoogle Scholar
  10. 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.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 12.
    Festekjian JH, Hassantash SA, Taylor EW. Abdominal wall biloma: an unusual complication of laparoscopic cholecystectomy. JSLS. 1997;1:353–5.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Nunez D Jr, Becerra JL, Martin LC. Subhepatic collections complicating laparoscopic cholecystectomy: percutaneous management. Abdom Imaging. 1994;19:248–50.CrossRefGoogle Scholar
  14. 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.CrossRefGoogle Scholar
  15. 15.
    Pavlidis TE, Atmatzidis KS, Papaziogas BT, et al. Biloma after laparoscopic cholecystectomy. Ann Gastroenterol. 2002;15:178–80.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryStony Brook University HospitalStony BrookUSA
  2. 2.Department of General SurgeryStony Brook University HospitalStony BrookUSA

Personalised recommendations