| Abstrakt: |
Postcholecystectomy syndrome (PCS) is a complex of heterogeneous symptoms that include: right upper quadrant and epigastric pain and dyspeptic syndrome that recur and/or persist after cholecystectomy. Since the 1990s, laparoscopic cholecystectomy (LC) has increasingly replaced open cholecystectomy (OC), and its frequency has increased, probably due to its relatively timely performance. Since the beginning of the 21st century, gallstone disease and its complications are the most common cause of hospitalization in developed countries. It affects between 10-20% of the adult population, and in about 80% of cases is asymptomatic. Despite the large number of cholecystectomies performed worldwide, a 100% curative effect is not recorded in patients, as persistence of the same symptoms before surgery or the appearance of new symptoms after cholecystectomy is possible. This presents the general practitioner with the challenge of knowing the underlying diseases which can lead to the development of PCS. Aim: The aim of the article is to familiarize colleagues in general medical practice with current diagnostic and therapeutic strategies and treatment modalities in patients with PCS and their role in optimizing outcomes and reducing complications and mortality in these patients. Materials and Methods: 1562 patients with gallstone disease and its complications underwent surgeries in the Second Clinic of Surgery in the period 2011-2021. Of these, 262 were diagnosed with PCS. In 190 patients we performed surgical intervention, and 72 were treated conservatively. Conclusion: Although known for a long time, PCS - is again becoming a topical problem with LC as the main cause. Clinical symptoms can be divided into early and late. Treatment requires an individualized multidisciplinary approach and a team of interventional radiologists, endoscopists, gastroenterologists, surgeons and general practitioners. [ABSTRACT FROM AUTHOR] |
