tag:blogger.com,1999:blog-484922689493339101.post2028750162578386328..comments2022-09-02T00:38:41.053-07:00Comments on MD STAT: Talk to a doctor.: Recurrent Abdominal Pain (absent gall bladder)MDSTAT_ER_DOC_1http://www.blogger.com/profile/17634121181746444883noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-484922689493339101.post-46797346311395313812012-06-26T08:08:34.978-07:002012-06-26T08:08:34.978-07:00To recurrent abdominal pain:
Sounds very much lik...To recurrent abdominal pain:<br /><br />Sounds very much like post-cholectomy syndrome (can be present in 10-40& of patients who have had their gall bladders removed)<br /><br />The causes can be the formation of stones in the cysic &/or common bile ducts (which are not removed by the gall bladder surgery (cholycysectomy)<br /><br /><br /><br />The common bile duct enters the small intestine at a juncture with the pancreatic duct (called the sphincter of Oddi) If there is a stone at that juncture it can cause some pancreatic inflammation as well as preventing any bile entering the small intestine.<br /><br />If the bile can't get into the intestine your ability to break down fats is compromised and this can result in fatty, floating, stools<br /><br />The fact that one of your tests showed a dilation of the bile duct(s)-- could be caused by a stone in one of the ducts (or a blockage at the sphincter of Oddi).<br /><br />Sometimes the ultrasound does not give a clear picture of stones in the bile ducts and the ERCP (endoscopic retrograde cholangiopancreatography) <br />done by your gastroenterologist or surgeon iis the best way to diagnose this condition (and to remove a stone )<br /><br />Another blood test that often goes along with a blockage of the ducts is the alkaline phosphatase--which they probably already have done)<br /><br />Hope this will be cleared up soon for you.<br /><br />Best of luck!! Space Docspace docnoreply@blogger.com