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Doctors Lounge - Gastroenterology Answers
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| mom2boys
- Wed Nov 16, 2005 4:03 pm |
|
I had an endoscopy the other day and they found extra Bile in my stomach and I am refluxing that. I am on Questran and tums. I have been nauseated 3 weeks after I had my Gall bladder out. Is this some thing that will be life long or does this go away with time... Please HELP>>>>
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| Dr. Safaa Mahmoud
- Sun Aug 06, 2006 8:09 pm |
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 Dear mom2boys,
Patients with symptoms after cholecystectomy similar to cholecystitis or gall bladder disease are known to have postcholecystectomy syndrome (PCS).
PCS is caused by alterations in bile flow as a result of removal of the gallbladder. The inappropriate bile flow leads to esophagitis and gastritis and or in others, diarrhea and colicky lower abdominal pain.
Causes include:
Residual or reformed gallbladder
Sphincter of Oddi dyskinesia, spasm, or hypertrophy
Sphincter of Oddi stricture
GI symptoms due to duodenogastric reflux, is a cholecystectomy sequel that is considered as a part of post cholecystectomy syndrome (functional bowel disorders).
- GERD gives similar clinical picture and can be unrelated to the PCS.
Investigations include:
Esophagogastroduodenoscopy (EGD) is used to check for esophagitis, including gastroesophageal reflux disease (GERD) and for direct visualization of the ampulla of Vater.
An abdominal ultrasound to evaluate the liver, biliary tract, pancreas should be done.
Hope you find this information useful. Follow up with your doctor is essential.
Best regards,
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