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Psychological factors influencing results of cholecystectomy.
Scand J Gastroenterol
February 2004
Dept. of General, Gastroenterological and Endocrinological Surgery, Medical University of Gdańsk, Poland.
Background: Cholecystectomy is a surgical gold-standard procedure for gallbladder diseases, among which gallstones are the most frequent. Despite the introduction of minimally invasive surgery and broad access to ultrasound examination there is a group of patients in whom the surgery ailments persist. Those vague ailments can be perceived from a psychological point of view as somatization or even somatoform disorders.
View Article and Find Full Text PDFAcalculous biliary pain: new concepts for an old entity.
Dig Liver Dis
July 2003
Division of Gastroenterology, Faculty of Medicine, University of Calgary, Health Science Centre, 3330 Hospital Drive NW, Calgary, Alta, Canada T2N 4N1.
Biliary pain is commonly reported in household surveys with the presumed cause being gallstones. When gallstones are absent or other abnormalities as a potential cause of similar pain do not exist, a different approach is necessary. Although trans-abdominal ultrasound can detect stones down to 3-5 mm, the advent of endoscopic ultrasound provides an even better definition for microlithiasis of < 3 mm.
View Article and Find Full Text PDFPost-cholecystectomy biliary pain and dyspepsia (response to 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors).
J Okla State Med Assoc
July 1994
University of Oklahoma Health Sciences Center, Oklahoma City.
Background: The so called post-cholecystectomy syndrome is common, intractable, often progressive, causes prolonged suffering, and has no approved treatment. It usually presents with episodic biliary pains (colics), and postprandial dyspepsia (bloating and indigestion). Because treating a very recalcitrant case with lovastatin provided prolonged remission, 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors were given to 12 subsequent patients with similar symptoms.
View Article and Find Full Text PDF[The causes of the so-called post-cholecystectomy syndrome and the possibilities of its timely recognition].
Khirurgiia (Mosk)
October 1993
A simple scheme for the examination of patients for identifying the causes of the so-called postcholecystectomy syndrome (PCES) is suggested from experience in the examination of 1,712 patients with this syndrome. Three groups of patients are distinguished. First group--individuals with an external biliary fistula.
View Article and Find Full Text PDF[Certain aspects of so-called post cholecystectomy syndrome].
Pol Tyg Lek
May 1991
IV Kliniki Chorób Wewnetrznych Instytutu Medycyny Wewnetrznej, Warszawie.
The study involved 126 patients with cholelithiasis. Set of biochemical, radiological, endoscopic, and ultrasound examinations was carried out in these patients. Potential coincidence of clinical symptoms and causes of so-called postcholecystectomy syndrome was the purpose of a 1-year follow-up studies.
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