Zubair Ahmed Yousfani, Khenpal Das, Jabeen Atta, Gulhamullah Rind, Shah Nawaz Khatti, Moomal Zoya

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



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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



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