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What Causes Continued Pain After Gallbladder Is Removed?

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Posted on Wed, 23 Jul 2014
Question:
What causes continued pain after gallbladder is removed?

I do not have stones or a diseased Gallbladder. The Dr. said it is a laziy gallbladder.

What can I do to help this. i have read of many who had bad results after removal of gallbladder. Is there an alternative?
Thanks.
doctor
Answered by Dr. Ashish Verma (55 minutes later)
Brief Answer:
there are many causes

Detailed Answer:
Hi,

I have read your query.

First, a lazy gall bladder is a diseased one. As it has slow and delayed evacuation of bile, so it is more prone to get gall stones and infection due to bile stagnation. And there is no other alternative for a lazy gall bladder, apart from its removal. And it is not a fault of your sphincter of oddi, as that will cause a dilated common bile duct, which you are not having.

Second, there are various cause for continued pain after gall bladder is removed, but these all are quiet rare, like-
1- sometimes the stone slips out and falls into the abdominal cavity, and that causes chronic pain.
2- infection, post surgery
3- bile leak
4- biliary pancreatitis
5- stone in the common bile duct

All these are quiet rare in a hands of an experienced surgeon. If you have not undergone the procedure yet, you need not worry so much about these.

Hope I have been helpful.

Regards,
Dr. Ashish Verma

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ashish Verma (2 days later)
is it true that during the removal of the gallbladder the the pancreas is called to do the work?

Is it true that when the surgeon operates to remove the gb, he/she than places the biliary duct into the bowel, which drops bile into bowel and can erode bowel?

This than can cause pancreatitis?













doctor
Answered by Dr. Ashish Verma (1 hour later)
Brief Answer:
there is nothing like that

Detailed Answer:
Hi,

Pancreas continue their work before and after gall bladder removal. Its just that the load on them is increased a little, but not that something a normal pancreas can't cope up with.

Also the bile reaches from liver by a bile duct from birth only. Gall bladder just acts as a store house on the "side" of that road and not in between, and during surgery only that road side store house is removed, not the main road. Hope you got the point.

And as bile has always reached the bowel by the main road since birth, there is no questions of the bowel getting damaged by in now or in the future.

Regards,
Dr. Ashish Verma
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ashish Verma (23 hours later)
Just had surgery today. GB was removed robotically. May have a few questions later.
Thank You.
doctor
Answered by Dr. Ashish Verma (5 minutes later)
Brief Answer:
sure

Detailed Answer:
Hi XXXXXXX

Wish you a speedy and uncomplicated recovery.

You can reach me at any time, i am available at this forum 24x7.

Regards,
Dr. Ashish Verma
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ashish Verma

General Surgeon

Practicing since :2008

Answered : 1290 Questions

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What Causes Continued Pain After Gallbladder Is Removed?

Brief Answer: there are many causes Detailed Answer: Hi, I have read your query. First, a lazy gall bladder is a diseased one. As it has slow and delayed evacuation of bile, so it is more prone to get gall stones and infection due to bile stagnation. And there is no other alternative for a lazy gall bladder, apart from its removal. And it is not a fault of your sphincter of oddi, as that will cause a dilated common bile duct, which you are not having. Second, there are various cause for continued pain after gall bladder is removed, but these all are quiet rare, like- 1- sometimes the stone slips out and falls into the abdominal cavity, and that causes chronic pain. 2- infection, post surgery 3- bile leak 4- biliary pancreatitis 5- stone in the common bile duct All these are quiet rare in a hands of an experienced surgeon. If you have not undergone the procedure yet, you need not worry so much about these. Hope I have been helpful. Regards, Dr. Ashish Verma