How are patients with postcholecystectomy syndrome (PCS) screened for coronary disease?

Updated: Nov 28, 2018
  • Author: Steen W Jensen, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

In addition to the history and physical examination and review of the old record, electrocardiography (ECG) should be performed to screen for coronary disease. A stress test or Holter monitoring may be indicated by the findings from the history and physical, laboratory tests, or ECG.

Provocation tests, such as the morphine-neostigmine test for pain or the secretin stimulation test for pancreatic duct dilatation, have not been widely accepted. The author has not found either test to be particularly helpful.


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