tag:blogger.com,1999:blog-484922689493339101.post1173306879234279114..comments2022-09-02T00:38:41.053-07:00Comments on MD STAT: Talk to a doctor.: Gall Bladder Pain Without a Gall-BladderMDSTAT_ER_DOC_1http://www.blogger.com/profile/17634121181746444883noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-484922689493339101.post-27486824267493429552013-06-22T06:47:00.034-07:002013-06-22T06:47:00.034-07:00It sure does sound like a post-cholycystectomy syn...It sure does sound like a post-cholycystectomy syndrome as MD-STAT-ER-DOC-has mentioned.<br /><br />When the gall bladder is removed (choycystlectomy) they do not take out the common bile duct which joins with the pancreatic duct at a place that allows both ducts to empty bile from the liver and enzymes from the pancreas into the small intestine. This place is called the sphincter of Oddi. The sphincter of Oddi can become blocked or spasm and this can create pain.<br /><br />One of the best ways to visualize this whole area is by seeing a gastro-enterologist to get an endoscopic retrograde cholangiopancreatography (ERCP) exam which requires the gastroenterologist to pass a tube down the esophagus and examine for ulcers, esophagitis, as well as getting a picture of the sphincter of Oddi and any problems involved there.<br /><br />The other test that might delineate the area would be a Hepato-biliary scan. Your gastroenterologist could determine which would be most helpful.<br /><br />Good Luck! Space Doc.<br /><br /><br />space docnoreply@blogger.com