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A member asked:
Woman prior gastric bypass, did not rmove gall badder. now pancreatitis, gall stones, icu for month. clot at pic line. jacksonville, fl. recommed?
14 doctors weighed in across 3 answers
Surgery: She should get surgery. The risk of recurrence is quite high! benefits outweighs risks.
Answered 9/4/2017
5.2k views
Biliary disease: Post gastric bypass gallstone formation is common due to the rapid weight loss. Gallstone pancreatitis can develop. Most likely will require decompression of gallbladder via percutaneous cholecystostomy or transhepatic biliary catheter to remove ductal stones followed by cholecystectomy. Usually wait until acute symptoms of pancreatitis are resolved. Best handled at tertiary care center.
Answered 11/27/2017
5.2k views
Surgery when stable: Cholecystectomy once stable before discharge. If lfts elevated may need ERCP first.
Answered 3/15/2022
5.2k views
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