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The Doctors Lounge - Gastroenterology Answers

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Back to Gastroenterology Answers List

Forum Name: Gastroenterology Topics

Question: gallstones?


Toy - Wed Dec 27, 2006 9:39 am

Is it really possible to have gallstones after you've had your gallbladder removed?
Dr. Safaa Mahmoud - Wed Dec 27, 2006 5:32 pm

Hello,

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

Endoscopic evaluation and abdominal US help in the diagnosis.
Keep us updated.

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