thephysician on Instagram: "Post-cholecystectomy syndrome (PCS) Definition: Persistence or recurrence of RUQ/epigastric pain ± dyspepsia after cholecystectomy. Causes: • Biliary: retained/recurrent CBD stone, biliary stricture, sphincter of Oddi dysfunction, bile leak • Non-biliary (common): GERD/PUD, pancreatitis, IBS, adhesions, neuroma Timing clue 🧠: • Early (weeks): retained stone, leak • Late (months–years): SOD, GERD/PUD, IBS Work-up: LFTs (ALP/GGT) → USG → MRCP if biliary suspicion → UGI
0:09
thephysician on Instagram: "Post-cholecystectomy syndrome (PCS) Definition: Persistence or recurrence of RUQ/epigastric pain ± dyspepsia after cholecystectomy. Causes: • Biliary: retained/recurrent CBD stone, biliary stricture, sphincter of Oddi dysfunction, bile leak • Non-biliary (common): GERD/PUD, pancreatitis, IBS, adhesions, neuroma Timing clue 🧠: • Early (weeks): retained stone, leak • Late (months–years): SOD, GERD/PUD, IBS Work-up: LFTs (ALP/GGT) → USG → MRCP if biliary suspicion → UGI
1.5K views2 months ago
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