biliAry CAuses oF the postCholeCysteCtomy syndrome And therApeutiC ApproAChes

Postcholecystectomy syndrome (PCS) is a set of symptoms, particularly in the digestive field that do not disappear after surgical removal of the gallbladder, on the contrary, they worsen. Objectives: The objective of this paper is to highlight the biliary pathology of the PCS for cases hospitalized in surgical wards of a county clinical emergency hospital and the therapeutic ways of solving the generating cause. Material and method: In the present study clinical observation sheets of the patients hospitalized in surgical wards, from January 2010 to October 2015 with the diagnosis of postcholecystectomy syndrome have been examined. Results: 221 patients, accounting for 67.42% of females. Clinical examinations and laboratory examinations showed the presence of a postoperative angiocolitis, in a share of 92.30%. Of the 221 cases admitted to surgery with PCS, the biliary causes was 14%, in 190 of the cases, the treatment was by drugs (85.97%). In the other 31 cases it was used an endoscopic and/or surgical intervention. Conclusions: Angiocholitis in postcholecystectomy generate changes in interhepatic and extra hepatic bile ducts which are translated by imaging, by their expansion, with or without parietal modifications, with or without obstruction lesions of the distal bile duct. The main therapeutic approach in PCS is noninvasive, by drugs.