Question:
My Laparoscopic
cholecystectomy for chronic cholecystitis was OK but 6 months after
surgery I have started diarrheas.
I am
under Kreon 10000 treatment and I am not well.
My doctor
says I may have some pancreatic dysfunctions
Is that
possible?
What
type of dysfunction it may be?
Is it
serious?
Alice
Answer:
Dear
Alice,
Postcholecystectomy
syndrome (PCS) occurs in 5 to 40% of patients. It refers to presumed
gallbladder symptoms that continue or that develop after cholecystectomy.
Constant
gas, bloating, diarrhea, upper abdominal pain and intestinal cramping
are the symptoms.
Postcholecystectomy
syndrome is apparently very difficult to treat.
You can
ease diarrhea by taking the medicine cholestyramine.
Postcholecystectomy
syndrome was originally defined by Pribram as a pure functional disturbance
after cholecystectomy. Today it has become a melting pot of various
postoperative syndromes of mostly obscure origin .
Its incidence
is by no means expected to drop with the increased popularity of laparoscopy
since most complications are shared between conventional and laparoscopic
cholecystectomy.
Methods
of Treatment of PCS Postcholecystectomy syndrome are:
Medical
-Cisapride
-Ursodeoxycholic acid
-Nitroglycerin
-Nifedipine
Surgical
-Endoscopic
Papillotomy
-Extended sphincteroplasty
