Gallstone&
bariatric surgeryCase presentation by:
(8 months ago:) Mini gastric bypass
+ Ursoflor 600mg/d for 6months
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▫ F 42 yr., Ht: 165 cm, wt:125 kg, BMI: 45.9▫ PMH: DM ( since 2 yrs. ago) ▫ DH: NovoMix Insulin 40 U/d▫ Sonography: sludge in gallbladder▫ Endoscopy: Mild gastritis, H.pylori (+) → H.pylori eradication
Postop:Biliary colic (×2)Sonography : multiple gallstones, 2-3 mm in size
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Surgical plan was temporarily suspended.(after the medical therapy is completed,surgery will be executed in case of pain)
➢ Symptoms : Severe Ruq pain, Fever, obstructive jaundice
➢ Sonography : multiple gallstones, 4-6mm in size, CBD: 12mm
➢ MRCP: multiple tiny stones in CBD
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Lab data:
WBC: 15000, N:88%
T. Bile: 8.5, D. Bile :5
Alk.P: ×3 NL
GGT: 1150
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Recommendation?
Thanks
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