Post Cholecystectomy Syndrome: a Two Years Study.

Ammadudin Nasir; Muhammad Imran; Saqib Zaheer; Tajammul Hussain; Usman Asghar

Author(s)

Ammadudin Nasir Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan

Muhammad Imran 130 Medical Battalion Minimerg Pakistan

Saqib Zaheer 130 Medical Battalion Minimerg, Pakistan

Tajammul Hussain 130 Medical Battalion Minimerg, Pakistan

Usman Asghar 130 Medical Battalion Minimerg, Pakistan

Abstract

Objective: To assess the pattern of symptoms and underlying causes in patients presenting with post cholecystectomy syndrome. Study Design: Retrospective cross sectional study. Place and Duration of Study: All the patients who underwent open cholecystectomy from Jan 2014 to Dec 2015 in Military Hospital Rawalpindi under general anaesthesia were included in the study. Material and Methods: The study was carried out on 626 patients undergoing open cholecystectomy. Data was collected on a specially designed Proforma from hospital management system record. All the patients underwent open cholecystectomy in Military Hospital Rawalpindi under general anaesthesia. Results: A total of 626 patients were included in the study. About 101 (16.1%) patients presented with post cholecystectomy syndrome as a preliminary diagnosis. The study showed a female predisposition for PCS (18.73%) as compared to males (11.68%). Six (5.94%) patients presented with right hypochondrial pain and jaundice. Fifty nine (58.41%) patients presented with dyspepsia. Three (2.97%) patients presented with painless jaundice. Nine (8.91%) patients presented with diarrhea. Six (5.94%) patients presenting with pain right hypochondrium with no jaundice and 18 (17.82%) patients presenting with right hypochondrial pain and dyspepsia. Conclusion: A thorough preoperative evaluation is important before offering cholecystectomy to a patient. Moreover, good operative techniques and better endoscopic evaluation will further lessen the peroperative and postoperative biliary complications. However, gastritis leading to dyspepsia and psychiatric disorders make a large percentage of the cause of post cholecystectomy syndrome.

Publication Details

Page(s) 796-801

DOI DOI not available

Published Journal: Pakistan Armed Forces Medical Journal, Volume: 68, Issue: 4, Year: 2018

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