What is included in long-term monitoring of postcholecystectomy syndrome (PCS)?

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

Follow-up care should be appropriate for the patient and the operation that was performed.

In a retrospective study of 105 patients, Coté et al investigated whether follow-up ERCP and bile duct balloon sweeps are necessary to find abnormalities in patients who have undergone endoscopic treatment for postcholecystectomy bile duct leakage. [19] Patients underwent initial ERCP at the time of bile leak treatment and follow-up ERCP after a mean interval of 6.9 weeks.

At follow-up, one or more abnormalities were found in 27.6% of patients, including persistent bile leak, CBD stones, and CBD sludge without stones. [19] Balloon sweeps, administered to a subgroup of patients, revealed a 17.6% prevalence of CBD stones or sludge at follow-up. In view of the prevalence of abnormalities after the endoscopic treatment of bile leaks, the authors recommended that follow-up ERCP and balloon sweeps be performed in patients at the time of stent removal.


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