Gastroenterology Insights 2012; volume 4:e1 The postcholecystectomy bowel syndrome, chronic pancreatitis, and malignancy.5,7 Lasson et al. followed 65 Correspondence: Qiang Cai, Division of Digestive syndrome: a review patients initially diagnosed with PCS and Diseases, Emory University School of Medicine, of etiology and current found 48% with identifiable extrabiliary dis- 1365 Clifton Road, B1262 Atlanta, GA 30322, USA. approaches to management eases during 4-13 years of follow up.8 Similarly, Tel: +1.404.778.4857 - Fax: +1.404.778.2578. Filip et al. found 27 of 80 patients (34%) eval- E-mail:
[email protected] uated for PCS actually had non-biliary symp- Robert D. Kung, Amanda W. Cai, Key words: postcholecystectomy syndrome, chole- 9 Jason M. Brown, Anthony M. Gamboa, toms. Others cite gastroparesis, costchondri- cystectomy, etiology. Qiang Cai tis, fibromyalgia, and chronic narcotic use as common causes for PCS pain.10 Thus, the first Received for publication: 9 June 2011. Division of Digestive Diseases, Emory step in evaluating patients with PCS must be a Accepted for publication: 29 August 2011. University, School of Medicine, Atlanta, careful history and evaluation to exclude these GA, USA This work is licensed under a Creative Commons common and often treatable disorders. Given Attribution NonCommercial 3.0 License (CC BY- the number of non-organic pain disorders NC 3.0). included in the differential, referral to a pain specialist may also be appropriate. ©Copyright Robert D. Kung et al., 2012 Abstract Licensee PAGEPress, Italy Organic biliary etiology Gastroenterology Insights 2012; 4:e1 Postcholecystectomy syndrome (PCS) com- doi:10.4081/gi.2012.e1 New biliary disorders may develop after prises a heterogeneous group of symptoms and cholecystectomy, and these must be ruled out disorders in patients who have previously through standard laboratory and radiological undergone cholecystectomy.