Abstract

JARAMILLO S, RUBÉN GUILLERMO; YURGAKY S, JAMES MILTON  and  OTERO REGIN, WILLIAM. POSTCHOLECYSTECTOMY DIARRHEA, DIAGNOSTIC AND THERAPEUTIC APPROACH. Rev. Med [online]. 2017, vol.25, n.2, pp.96-104. ISSN 0121-5256.

Cholelithiasis is a highly prevalent disease in general population. Treatment of cholelithiasis when it becomes symptomatic is fundamentally surgical. One of its complications is postcholecystectomy diarrhea that is defined as the presence of 3 or more watery depositions for a period longer than 4 weeks in patients with the surgical background in the absence of another cause that explains symptoms. Due to incidence reported in literature of 15%, this review presents epidemiology, physiopathology, diagnosis, classification and treatment of this disease. Additionally, a new classification of the pathology is proposed that correlates with the physiopathology.

Keywords : gallstones; cholecystitis; laparoscopic cholecystectomy; diarrhea; bile acid malabsorption.

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