Summary: Gallstones can
be resolved slowly with UDCA or equivalent. Up to 30% of post-gallbladder removal
patients report continuation of symptoms. Ultrasound lithotripsy is an alternative,
and Chinese reports on acupuncture are interesting.
J Am Coll Nutr. 2004 Dec;23(6):745S-7S.
Related Articles, Links
Post-cholecystectomy syndrome and magnesium
deficiency.
Porr PJ, Szantay J, Rusu M.
3rd Medical Clinic, Cluj-Napoca,
ROMANIA. piporr@umfcluj.ro.
Background and OBJECTIVE: In 20%-30% of cholecystectomised patients a biliary syndrome (called Post-Cholecystectomy Syndrome: PCES) reappears
after some weeks or months. Its etiology, in certain cases, is an anatomic one: (choledochal lithiasis or stricture, obstructive
papillitis, pancreatic duct stenosis), but there are many cases in which all organic causes are excluded. METHODS: The aim
of this study was to analyze the correlation between these functional disturbances and magnesium (Mg) deficiency (MD). We
analysed 52 patients with PCES and MD, in which organic lesions of the remaining bile ducts were excluded by imaging and endoscopic
methods. RESULTS: MD was confirmed by serum and erythrocytic low Mg levels. 82% of patients were women. Supplemental therapy was provided with Tiomag (Mg gluconate and methionine), vitamin B(6) and Ca lactate for 6
weeks or more. In 50 patients, PCES symptomatology disappeared after this treatment. In 14 cases some symptoms reappeared
after a few weeks-months, but after repetition of the same therapy they completely disappeared. CONCLUSIONS: Our results demonstrate
the dependence of PCES functional manifestations on MD, especially the recurrence of symptoms, which again subsided after
Tiomag therapy was reinstituted.
PMID: 15637226 [PubMed - in process]
