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21.Clinical Patterns of Post Cholecystectomy Syndrome Reporting at a Tertiary Care Hospital of Sindh

Faiza Syed

ABSTRACT

Objective: Determining the presenting clinical symptoms and etiology in post cholecystectomy syndrome (PCS) reporting at a tertiary care hospital of Sindh.

Study Design: Cross sectional study

Place and Duration of Study: This study was conducted at the Department of Surgery, Suleman Roshan Medical College Hospital, Sindh from January 2020 to October 2021.

Materials and Methods: A sample of 135 was calculated by ‘sampling for proportions’. Patients were included according to inclusion criteria with history of cholecystectomy. A pre – structured questionnaire was designed. Sonography and computed tomography (CT) scans were performed. Blood was processed and centrifuged to get sera for laboratory testing. Data was entered in SPSS v19.0 for statistical analysis 95% CI (P≤ 0.05).

Results: Most frequent clinical sign was right upper quadrant (RUQ) tenderness in 129 (95.5%), followed by epigastric pain in 97 (71.7%), fever in 73 (54.0%), Jaundice in 19 (14.0%) and abdominal pain in 23 (17.0%). Bile leakage was noted in 27 (20.0%), peritoneal fluid in 19 (14.0%), dilated CBD in 39 (28.7%), recurrent CBD stone in 12 (8.8%), retained CBD stone in 19 (14.1%), Oddi sphincter dysfunctioning in 37 (27.4%) and cystic duct stump (remnant) in 41 (30.3%).

Conclusion: The present study concludes the clinical patterns of post – cholecystectomy syndrome vary amongst patients, are of different etiologies that need specific diagnostic and therapeutic strategies by a multidisciplinary team.

Key Words: Postcholecystectomy syndrome, Choledocholithiasis, Bile leak, CT scan, Sonography

Citation of article: Syed F. Clinical Patterns of Post Cholecystectomy Syndrome Reporting at a Tertiary Care Hospital of Sindh. Med Forum 2022;33(2):90-94.