Frequency of Clinical Symptoms in Post Cholecystectomy Syndrome Patients our Hospital Experience: A Cross-Sectional Study
Zubair Ahmed Yousfani, Khenpal Das, Jabeen Atta, Gulhamullah Rind, Shah Nawaz Khatti, Moomal Zoya
1425
ABSTRACT
Aim: To determine the
frequency of different clinical symptoms in (PCS) Post Cholecystectomy Syndrome
patients, at a secondary care facility
Study Design: A cross-sectional
study
Place and Duration: This study was conducted
at Liaquat University of Medical Health Sciences
Jamshoro, Pakistan from May 2020 May
2021.
Methodology: For the purpose of
this study, 100 patients were selected. Only those individuals were selected
who qualified against an inclusion criterion which was set based on the
patients’ history of cholecystectomy. For this purpose, a questionnaire was
made. The patients that were selected had to go through CT (computed
tomography) scans and sonographic tests. Blood testing was also done and sera were
prepared for in-depth laboratory tests. Data from the research were analyzed by
using SPSS version 19.
Results: Most common clinical
symptom after post-surgery was right upper quadrant pain (114 patients). Epigastric
discomfort was present in 97 patients. Fever was third in line (73 patients)
with jaundice being fourth (23 patients). Abdominal tenderness (19 patients) was
followed by bile leakage (7 patients), fluid in the peritoneal region (19
patients), CBD dilation (39 patients), recurrent stone in CBD (12 patients),
retained stone in CBD (19 patients), dysfunctioning of Oddi sphincter (37
patients) and remnants of the cystic duct stump was present in 41 patients.
Conclusion: The results of this
study show that post cholecystectomy symptoms and conditions vary among
patients and all of them need to be kept in while proposing proper follow-up
treatment
Keywords: post cholecystectomy
syndrome, bile leak, sonography, CT scan
ABSTRACT
Aim: To determine the
frequency of different clinical symptoms in (PCS) Post Cholecystectomy Syndrome
patients, at a secondary care facility
Study Design: A cross-sectional
study
Place and Duration: This study was conducted
at Liaquat University of Medical Health Sciences
Jamshoro, Pakistan from May 2020 May
2021.
Methodology: For the purpose of
this study, 100 patients were selected. Only those individuals were selected
who qualified against an inclusion criterion which was set based on the
patients’ history of cholecystectomy. For this purpose, a questionnaire was
made. The patients that were selected had to go through CT (computed
tomography) scans and sonographic tests. Blood testing was also done and sera were
prepared for in-depth laboratory tests. Data from the research were analyzed by
using SPSS version 19.
Results: Most common clinical
symptom after post-surgery was right upper quadrant pain (114 patients). Epigastric
discomfort was present in 97 patients. Fever was third in line (73 patients)
with jaundice being fourth (23 patients). Abdominal tenderness (19 patients) was
followed by bile leakage (7 patients), fluid in the peritoneal region (19
patients), CBD dilation (39 patients), recurrent stone in CBD (12 patients),
retained stone in CBD (19 patients), dysfunctioning of Oddi sphincter (37
patients) and remnants of the cystic duct stump was present in 41 patients.
Conclusion: The results of this
study show that post cholecystectomy symptoms and conditions vary among
patients and all of them need to be kept in while proposing proper follow-up
treatment
Keywords: post cholecystectomy
syndrome, bile leak, sonography, CT scan