Postcholecystectomy syndrome: mask of other diseases

This condition occurs after the operation of removal (ectomy) of the gallbladder. Usually, such surgery is done about cholelithiasis (in some cases there is no alternative to such surgery). The bladder itself is a small pouch that accumulates bile from the liver and from which it goes out, if necessary, for the digestion process. Its flow leads to the duodenum.

Bile is not only a liquid for digestion, but also a kind of waste that the liver takes from the blood. The bile has a yellow-green color and bitterness. Some of us have seen our bile with a long painful vomiting.

The liver is a very large organ with many functions, the main of which is cleansing and detoxification (so I would not recommend eating an animal liver). In the small intestine, practically all the necessary substances enter the bloodstream, so the role of bile is quite high. And without a gallbladder, problems begin.

The postcholecystectomy syndrome of symptoms is not always certain. Often after removing it from the patient, many of the symptoms that were present before removal are evident. For example, diarrhea, fever, vomiting, general weakness. However, the most common symptom is acute or dull pain. Often due to the influence of bile on the wall of the intestine, the lining of the latter becomes inflamed, which causes a rise in temperature. Pain occurs in 70% of those who have had surgery, but the syndrome is diagnosed only in 10-15%. Another symptom is jaundice, which is visible on the mucous membranes. It causes the substance bilirubin, whose metabolism is disturbed by the removal of the gallbladder. Postcholecystectomy syndrome is still manifested by throwing bile into the upper digestive tract, which is manifested by a sense of bitterness in the mouth.

Not all who underwent surgery experience the symptoms described above. The main cause of the syndrome is the fact that bile can not accumulate as it was before. Therefore, in nutrition it is important to observe moderation, because for a large amount of food at times bile may not be enough. Because of this, patients need to eat small portions, and the food should be low-fat.

If the doctors made a mistake during the operation, it is possible to penetrate the organs through a surgical scar, which can be very dangerous. And it is also considered a variant of the complex "postcholecystectomy syndrome".

Sometimes stones are formed, and then a person experiences extremely painful sensations, and a new surgical intervention is possible. In 5% of cases, doctors generally can not establish the causes of the manifestation of this condition.

Usually postcholecystectomy syndrome is a temporary diagnosis, which is put until the doctor comes to a more definite conclusion about what is happening in the patient's body. Sometimes the symptoms are not very pronounced, so people who have gone through this surgery should openly discuss all their feelings with the doctor. An attentive doctor can prescribe studies that will help determine what is hidden behind the mask called postcholecystectomy syndrome. Treatment depends on what disease hides behind this complex of various symptoms.

If the cause has not been identified, a second operation may be necessary. With it, the sphincter is removed - the muscle ring, which stops the flow of bile. Sometimes it contracts very tightly, narrowing the duct, as a result of which it can close at all, which means a critical condition - and the need for urgent surgery.

In general, the re-operation is very complicated, and it is tried to begin in the morning, because it is not known how long it will take. Therefore, one can not ignore the unpleasant sensations after cholecystectomy - you need to see a doctor. In most cases, it will be possible to restrict to conservative treatment, treatment without surgery.