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Hi,
I am still having gallbladder pain after I had it removed 3 months ago. The doctor is sending me for an ultrasound because he is sure some stones were left on the vile duct by accident so I need to have them removed. Can you please tell me the name of this operation and what it consists of?
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replied June 13th, 2014
Hello and welcome to e health forum.

Persistent pain after cholecystectomy, is associated with post cholecystectomy syndrome (PCS).

Such symptoms occur in about 5 to 40 % of patients undergoing the procedure and may include - Upset stomach, nausea, vomiting, Gas, bloating, diarrhea and persistent pain in the upper right abdomen.

Such symptoms are usually due to either sphincter of Oddi dysfunction or to post-surgical adhesions.

Other conditions which can give rise to such pain can be many, including :-

1. Retained stone in the cystic duct, gall bladder duct.
2. Inflammation of gall bladder duct, if long enough had been left behind.
3. Inflammation of the part of gall bladder, if some part of gall bladder had been left behind as in case of partial Cholecystectomy in a difficult to remove gall bladder,
4. Overlooked stone in the common bile duct.
5. Already narrowed opening of the bile duct.

Treatment of the condition might need treatment with antacids, proton pump inhibitors, antispasmodics, Cholestyramine or sedatives. Lifestyle changes specifically adopting a low fat diet and weight loss might also be very helpful.

You might considered a experienced gastroenterologist for additional information and proper advice regarding further treatment.
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