What is the role of radiography in the workup of postcholecystectomy syndrome (PCS)?

Updated: Nov 28, 2018
  • Author: Steen W Jensen, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Chest radiography should be performed to screen for lower-lung, diaphragmatic, and mediastinal diseases; in most cases, abdominal films should be obtained as well. In patients with a history of back problems or arthritis, a lower dorsal spine series should also be obtained.

For patients with right-upper-quadrant pain, barium swallow, upper gastrointestinal (GI), and small-bowel follow-through (SBFT) studies will evaluate the intestinal tract for evidence of esophagitis, including gastroesophageal reflux disease (GERD) and peptic ulcer disease (PUD). These studies are not always performed, because esophagogastroduodenoscopy (EGD) is more reliable at identifying these diseases and also permits direct visualization of the ampulla of Vater. When the pain is lower in the abdomen, a barium enema should be performed.

Angiography of suspected diseased vessels may lead to intervention for vascular disorders, such as coronary or intestinal angina.

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