Síndrome pós-colecistectomia
Multi tool use
Síndrome Pós-Colecistectomia
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Especialidade
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gastroenterologia
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Classificação e recursos externos
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CID-10
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K91.5
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CID-9
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576.0
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MeSH
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D017562, D017562
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 Leia o aviso médico
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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
↑ Womack, Crider, NA, RL (1947). «The Persistence of Symptoms Following Cholecystectomy». Ann. Surg. 126: 31–55
↑ Postcholecystectomy Syndrome , Steen W Jensen, MD;John Geibel, MD, em http://emedicine.medscape.com/article/192761-overview acesso a 14-11-2012
↑ Hyvärinen, Sipponen e Silvennoinen, H, P e E (Dezembro de 1990). «Intestinal adhesions: an overlooked cause of the postcholecystectomy syndrome». Hepatogastroenterology. 37: 58–61
↑ 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
↑ WebMD. «Postcholecystectomy syndrome». Consultado em 30 de julho de 2012
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