Acute Cholecystitis Update

[jeanyb]

Further to my posting in June, I had keyhole surgery to remove the gallbladder last Wednesday. During the procedure I had an On table cholangiogram which unfortunately showed there was a stone in the bile duct (as sqad suggested). I have to have an ERCP sometime in the near future. Sqad, do you happen to know how successful this will be for the removal of the stone? If unsuccessful, presumably further surgery will be required - how do you rate my chances of attending my son's wedding in Mauritius in November, considering waiting lists, and flying post op etc?
Cheers
jeanyb

[Sqad]

jeany...thanks for the feedback.

One might ask that if a stone was identified in the CBD at operation, then why was it not removed?

This is a contentious issue between surgeons, an argument that is not suitable for AB in my opinion.

ERCP gives excellent results with few complications.

Son's wedding in November eh? ;-) .....give the surgeon's secretary a ring with your "plea" and a decent surgeon will respond and get you in.

Good luck!

[ChillDoubt]

I agree with Sqad, for what it's worth.
Only one surgeon where I work carries out an OTC(On Table Cholangiogram) as a matter of course.
As a result, he has a 100% success rate i.e. none of his patients ever have to come back for ERCP.
If stones are found during the OTC he removes them there and then via laparoscopic exploration of the bile duct.
Sadly, his colleagues do not perform OTC's as routine, despite the best efforts and encouragement of the surgeon who does. In truth, none have the skill sets to match the required procedure, bar the one.
ERCP delivers the required results, it's just an extra inconvenience for all that could and should have been sorted during the primary procedure.

Best of luck.

[Sqad]

Chilli.....;-)

[jeanyb]

Sqad and ChillDoubt, many thanks for your prompt and informative replies.

jeanyb

[Fusion5]

jeanyb , hope you don't mind me asking, but do you feel quite well after your op with sickness or diarrhoea? My neighbour had the op 2 weeks ago and he quite poorly.

[jeanyb]

Hi Fusion, apart from some slight nausea coming out of the anaesthetic and again after breakfast the following morning I haven't had any other problems. Still a bit tender around belly button but that's all. Sorry to hear your friend is suffering, hope things settle down very soon for him.
jeanyb

[Fusion5]

Thank you for your answer, jeanyb.