Surgical Treatment of Patients with Postcholecystectomy Syndrome

  • M. Zh. Aimagambetov
  • N. B. Omarov
  • T. L. Akparov
  • D. B. Auzhanov
  • A. Zh. Kalibekov
  • D. O. Akhmetzhanova

Abstract

The problem of postcholecystectomy syndrome (PES) is becoming more and more urgent due to the increase in cholelithiasis (GI). This disease affects every fifth woman and every tenth man of the globe. As a result, GI is observed in a quarter of the population over 60 years old and in a third – after 70 years in the world, in 10-15% of the inhabitants of Western Europe.A retrospective analysis of the 5-year experience of the Department of Hospital Surgery Semey Medical University was conducted from 2015-2020, based on the observation of 17 people who were re-hospitalized with the diagnosis of "postcholecystectomy syndrome" and the presence in the anamnesis of previously undergone cholecystectomy of both mini-invasive and traditional methods of surgical treatment.As a result of the clinical examination, 35.3% (n=6) of patients were diagnosed with various disorders of the physiological cardia function (cardia insufficiency, reflux esophagitis, hiatal hernia). A residual or "forgotten" stone was found in 5.8% (n=1) of patients. Recurrent or "newly formed" stones in extrahepatic bile ducts were observed in 47% (n=8) of patients.Key words: postcholecystectomy syndrome, calculus, choledocholithiasis, obstructive jaundice, sphincter of Oddi
Section
Articles