Doctor insights on:
Post Cholecystectomy Syndrome Treatment
Find Underlying Dx:
Postcholecystectomy syndrome is the persistence or return of RUQ abd pain following gallbladder removal. This is due to non-biliary causes (irritable bowel, ulcer dz, gerd, etc), organic biliary dz (common duct stones/stricture/cancer), or functional biliary disease (sphincter of oddi dysfunction). I advise GI work up to include
labs, ultrasound+/-ercp, depending on above results. ...Read more
Can I undergo for breaking body fats treatment by (o.U.I.™ inverse ultrasound osmosis) while I had cholecystectomy from 5 months ago?
SURE: While I have no knowledge of the indications or efficiency of the treatment you are considering, the absence of your gallbladder would have no reflection on the process. Be sure you know what you're getting in to before you agree to purchase a non-traditional treatment. Good luck. ...Read more
Surgery not a must: Gallstones are very common and more common with age. Most of the time these cause no problems but they can become symptomatic and cause pain. At their worst they can cause gallbladder infection and pancreatitis. At times they block the biliary system. Surgery is done on an elective basis for most people with symptomatic stones and on an urgent basis for gallbladder infection/ inflammation. ...Read more
Not many.: Many patients with documented gallstones never have symptoms and never require cholecystectomy. If the gallbladder becomes inflamed, removal is the procedure of choice. In a patient who is a poor surgical risk, placement of a tube into the inflamed gallbladder can be a temporizing measure. There are some medications that claim to dissolve gallstones, but these are rarely succesful. ...Read more
What is the tretment pf liver parenchymal echogenecity with gall stones? What are the side affects of cholecystectomy?
3 questions here: Echogenicity likely from fat deposition-commonly associated with obesity, diabetes, some meds., alcohol. Rx: lose weight, keep diabetes under control, limit alcohol. Gallstones: no symptoms, no rx. Symptoms: pain, vomiting related to the stones-rx: surgery. Usually belly button (laparoscopic), may have diarrhea for some time after procedure. Always potential for surgical complications. ...Read more
No, but...: ...It's the most effective. Gallstones can be dissolved by ultrasound waves (lithotripsy) or medication, however, new ones will form. The only effective way to permanently get rid of stones is to remove the "gallstone factory", the gallbladder. Thankfully, this can be done by minimally invasive outpatient surgery. Most importantly, though, this is only recommended if one has symptoms. ...Read more
Does midgut malrotation affect gallbladder removal? And does midgut malrotation need treatment if there is no obstructions?
NO not affected: Gall bladder (liver) will be in normal RUQ position as it develops from foregut, not from midgut, will cause int obstruction gangrene of gut as it will twist, yes if it is detected, correction will be done the adhesive bands (ladd's) will be removes, right colon will be brought to rlq if possible. ...Read more
Operating Room: Laparoscopic cholecystectomy requires general anesthesia in an operating room setting. This is often performed as an out-patient procedure; therefore, it may be done at a hospital or an ambulatory surgical center. ...Read more
Yes: Early after most any abdominal surgery, and for a couple weeks after surgery, it is common for a person to have a diminished appetite or feel full sooner after eating. This resolves as you heal and after you become more active & off narcotic pain pills. Drink plenty of liquids & eat smaller non-fatty meals more frequently at first. ...Read more
Lower in fat diet: The gallbladder is a bile storage sack which pumps/squeezes bile into the intestine to help digest (emulsify) fats. After removal, you have less bile available to digest fat, but after a few months your body/liver will adjust. So, after surgery, consume less fat, but all else should be fine. In general, we eat too much--so a healthy, balanced diet, and maybe smaller portions, is advised. Good luck. ...Read more
Gallbladder removal: Cholecystectomy means removal of the gallbladder. It can be done either open (the way we've done it for over a hundred years with a long incision under the rib cage), or laparoscopically (through small incisions using different instruments to get the job done). We generally do it laparoscopically if possible, and reserve the open approach for when we it's not safe to do via the scope. ...Read more
Medical pricing: Price is variable, depends on your insurance coverage. Check with your company, or policy. Deductables, co-pays, 80/20 coverage will impact the price you are responsible for. If you don't have insurance, ask for the price your facility receives from their most frequent insurance payor. This is a contracted price and your cash payment/price should be similar or lower. ...Read more
See below: It is a surgical procedure done under general anesthesia, while one is asleep. One to four small incisions are used for the surgical instruments. Carbon dioxide gas is used and a camera inserted to see. The gallbladder is removed, then you wake up and go to the recovery room. ...Read more
A gimmick: There are many ways to do a laparoscopic cholecystectomy. Instead of using metal clips to divide the duct going into the gallbladder, you can divide the cystic duct and then tie it with a suture or with an energy source. No real advantage over using clips (and the energy source may be more expensive and less reliable! ...Read more
General Surgeon: Most general surgeons are trained in laparoscopic techniques. Not all cholecystectomy patients are candidates, but the vast majority are. I am assuming you have already had workup determining the need for the procedure. ...Read more
Yes: Not uncommon, mainly because you feel so much better that you can eat everything that you could not eat before. I don't know if this is 'normal' but in my experience it is not uncommon. ...Read more
2 weeks: Generally it is recommended to postpone sex for at least 2 weeks after a laparoscopic procedure. The incisional pain is generally the limiting factor, but other factors such as recovery from general anesthesia, pain medications and other GI complaints may make sex less appealing. ...Read more
It varies: Some patients with mild disease and favorable anatomy may take only 20-30 minutes of operative time, defined as the time from first incision to closure of the last incision. Others with severe disease or prior operations or morbid obesity may require up to a couple of hours. Of course, it takes extra time to get ready for the operation and wake up afterwards. ...Read more
No: This would not be possibleGet a more detailed answer ›
VERY common: App. 750, 000 people/year have this operation in the US, alone! While it certainly is an invasive procedure, it is a relatively painless way to cure people of a very bothersome illness. Perhaps in years-to-come we may discover a non-surgical alternative, but, at this time, this remains the gold-standard for treating gallbladder disease. ...Read more
Usually not long:
Although we do the same operation on everyone for gallbladder disease, everyone reacts to it differently.
Some of my patients are back to normal within a day or two, but others are incapacitated for 6 wks or more.
Therefore, unfortunately, there is no way to answer your question with any certainty. ...Read more
Long list, rare occ:
The list of risks I give my patients usually makes them concerned, but they feel better after I explain to them that the risk of any of these things happening is only about 5%, and that is usually infection. But all of these risks have happened to someone in the past.
4. Retained stone
5. Bile duct injury
6. Bowel injury
7. Need for another procedure. ...Read more
Food: Unless you are having complications such as persistent abdominal pain, persistent vomiting, or other complications from the surgery itself, one month after gallbladder surgery a person should be eating regular ; normal foods. But, some people will have problems from eating fatty, greasy, or fried foods. ...Read more
Depends: A lap cholecystectomy is usually an outpatient procedure and depending on the person, one could be back to work in a week if not days, but that depends on the work (sitting on the computer vs lifting patients). For your job, I would say atleast 1-2 weeks, but let your surgeon make that final decision. Best of luck! ...Read more