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Doctors Lounge - Gastroenterology Answers
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| Toy
- Wed Dec 27, 2006 9:39 am |
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Is it really possible to have gallstones after you've had your gallbladder removed?
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| Dr. Safaa Mahmoud
- Wed Dec 27, 2006 5:32 pm |
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 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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