[Causes of recurrence of pain in patients after cholecystectomy and its treatment].

The authors analysed the results of diagnosis and treatment of the postcholecystectomy syndrome in 131 patients. Recurrence of biliary colic after cholecystectomy is linked in most patients with functional disorders of the sphincter of Oddi (27.4%) which disappear in many cases after cholecystectomy. In part of the patients, however, stable functional disorders of the major duodenal papilla become sources of organic changes later not only in the papilla but also in the organs of the pancreaticobiliary system. This disorder in the condition of the papilla must be detected in time and treated by a complex of nonoperative measures; if these measures prove ineffective, endoscopic or operative papillosphincterotomy must be carried out.