Síndrome pós-colecistectomia

























Síndrome Pós-Colecistectomia

Especialidade
gastroenterologia
Classificação e recursos externos

CID-10
K91.5

CID-9
576.0

MeSH
D017562, D017562

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Síndrome Pós-Colecistectomia (PCS) é a presença de sintomas abdominais após a remoção cirúrgica da vesícula biliar (colecistectomia).


Os sintomas mais comuns da síndrome Pós-Colecistectomia são:



  • Dores de epigástricas, náuseas e vômitos.

  • Gases, flatulência e diarreia.

  • Dor persistente no abdome superior direito[1].


Os sintomas ocorrem em cerca de 5 a 40 por cento dos pacientes que se submetem a colecistectomia


A dor associada com a síndrome pós-colecistectomia geralmente ocorre por espasmo do esfíncter de Oddi, presença de cálculos na via biliar principal, aderências pós-cirúrgicas, presença de um coto do canal cístico ou mesmo da vesícula biliar, pelo facto de, na ausência de vesícula se perder a função reservatório da bílis e esta drenar continuamente para o intestino.[2][3].


A incidência varia consoante a experiência da equipa cirúrgica indo de de 5 a 10% e mesmo 40% dos casos operados[4][5].



Referências




  1. ↑ Womack, Crider, NA, RL (1947). «The Persistence of Symptoms Following Cholecystectomy». Ann. Surg. 126: 31–55 


  2. ↑ Postcholecystectomy Syndrome , Steen W Jensen, MD;John Geibel, MD, em http://emedicine.medscape.com/article/192761-overview acesso a 14-11-2012


  3. ↑ Hyvärinen, Sipponen e Silvennoinen, H, P e E (Dezembro de 1990). «Intestinal adhesions: an overlooked cause of the postcholecystectomy syndrome». Hepatogastroenterology. 37: 58–61 


  4. ↑ Post cholecystectomy syndrome: Role of cystic duct stump and re-intervention by laparoscopic surgery, Om Tantia, Mayank Jain, Shashi Khanna, and Bimalendu Sen, Journal of Minimal Access Surgery http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699075/ acesso a 14-11-2012


  5. ↑ WebMD. «Postcholecystectomy syndrome». Consultado em 30 de julho de 2012 





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