problems after gallbladder removal years later

problems after gallbladder removal years later


Gallbladder removal, which doctors call cholecystectomy, is the standard treatment for acute inflammation and infection of the gallbladder (acute cholecystitis). Gallbladder resection will not be a serious problem for your body.

If you have recently had gallbladder surgery or if you or your loved ones have problems after gallbladder removal, we recommend that you read on.

In this article, we will introduce you to the problems that may exist years after a cholecystectomy and gallbladder removal.


Gallbladder surgery and its complications and problems

Flatulence and diarrhea after cholecystectomy

Constipation after cholecystectomy

Complications of intestinal and vascular injury

What is the cause of these complications after months and years?



Gallbladder surgery and its complications and problems

Acute complications after cholecystectomy are not very common. These complications usually occur during surgery or in the first days after surgery and include:

  • Injury to the intestines, arteries and organs adjacent to the gallbladder during surgery
  • Wound infection
  • Purulent discharge at the incision site
  • Fever
  • Abdominal pain
  • Anorexia and lethargy


In the event of an injury during surgery, the surgeon must quickly identify and repair the damage.

Incisional infection is characterized by pain at the incision site, fever, lethargy, anorexia, and pain that should be evaluated immediately by an appropriate surgeon and treated appropriately. Sometimes, with the development of infection, wider and more serious problems may arise for the patient that will require aggressive measures.

The gallbladder is not necessary for digesting food, and without the gallbladder, there is no problem with digestion, but some people may have gastrointestinal complications after a cholecystectomy. Doctors believe that these digestive problems will decrease and disappear over time as the body adjusts. Some problems go away after months or even years, and in a few cases they may persist forever.

These problems include:

  • Blowing
  • Diarrhea
  • Constipation
  • bleeding
  • Fever
  • Bile leakage
  • Problems caused by damage to the bile ducts of the liver
  • Clots in deep veins
  • Problems of anesthesia drugs
  • Syndrome after cholecystectomy


Flatulence and diarrhea after cholecystectomy

With the removal of the gallbladder, the production of bile in the liver does not stop, but bile is constantly produced, and because its storage (the gallbladder), does not exist, it is constantly secreted into the small intestine.

If you eat very fatty foods, bile deficiency may cause indigestion, and you may experience bloating and diarrhea. This diarrhea should go away after three days, otherwise you should tell your doctor.

Avoid taking drugs arbitrarily to relieve diarrhea.


Constipation after cholecystectomy

The following causes can cause constipation and slow bowel movements after gallbladder surgery:

  • Anesthesia drugs
  • Intestinal manipulation during surgery
  • Injury to the intestines
  • Analgesics prescribed to reduce pain in incised areas after surgery
  • Inflammation
  • Infections
  • Prolonged immobility
  • Disruption of the body's fluid and electrolyte balance after surgery
  • Dietary changes include high-fat and low-fiber diets


Complications of intestinal and vascular injury

This complication is very rare, but it should always be considered as a possibility.

The patient suffers from a lot of abdominal pain and spasms. Postoperative pain is normal as long as it has a decreasing trend. If your abdominal pain does not decrease after surgery, be sure to tell your doctor. You may need to have surgery again.

Jaundice, fever and infection

  • Wound infection that is accompanied by a purulent discharge from the wound
  • Swelling of the incision site
  • pain of the incision site
  • Redness of the incision


Timely care and proper treatment prevent the development of inflammation and infection

Fever and jaundice may also occur after gallbladder surgery

You may develop fever, abdominal pain, and jaundice months or years after your cholecystectomy.


What is the cause of these complications after months and years?

Sometimes stones and small deposits of bile remain inside the bile ducts of the liver. These stones can also cause inflammation and obstruction in the bile ducts of the liver, and create a clinical picture such as inflammation of the gallbladder. In these cases, the patient has fever, abdominal pain and jaundice

Sometimes a complete obstruction of the bile duct causes widespread inflammation and infection, which manifests itself with more fever and pain.


  • Bile leakage after gallbladder surgery:

One of the most important complications years and months after gallbladder removal is bile leakage.

During gallbladder removal surgery, damage may be caused by bile leaking from the ducts.

Leakage of bile into the abdomen stimulates its tissues and causes abdominal pain, bloating, fever, and so on.

Leakage of bile into the abdomen causes inflammation, which doctors call biliary peritonitis, which can be dangerous if left untreated.

The surgeon needs to examine you again. Sometimes it is possible to drain fluid from the abdomen without surgery and to wash and clean the inside of the abdomen of bile. but sometimes re-surgery may be needed to clear the abdomen and treat biliary peritonitis.


  • Thrombosis or clot in the veins after gallbladder removal surgery:

Some people are more prone to clots inside the deep veins of their legs due to underlying causes, such as pregnant women, obese people, people with a history of certain medications and people with cancer, and some autoimmune diseases.

Clots in the deep veins of the legs, which doctors call DVT, can be very life-threatening by moving to the heart and reaching the narrow arteries of the lungs (pulmonary embolism). Sometimes surgeons recommend wearing compression stockings for a while to prevent these problems.

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