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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Laparoscopic Cholecystectomy. Having Episodes Of Pain Above Sternal Notch Radiating To Back Even After Surgery. Reason?

Had laproscopic chole two weeks ago. Had to have stent liver/ pancreas . Have had several episodes of pain same as before removal, above sternal notch and shoots around in line to vertebrae in back. Almost as bad as original pain. First one that happened after surgery was six days out and put me into ER via ambulance, BP dropped 63/43. What s going on? Read articles that most people are back to work by now.
Wed, 18 Sep 2013
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Gastroenterologist,  's  Response
Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to you.
Most often it is due to stone in the common bile duct. But since stents have been placed, it is less likely. On the other hand, a blocked stent may cause this symptom. There may be additional symptoms like fever and jaundice depending upon whether is complete obstruction and which of the stents is blocked.

But sometimes it can be due to unrelated causes like a peptic ulcer disease. An upper GI endoscopy and a ultrasound scan of the abdomen may be done for evaluation.
Regards,
Dr.Ratnakar Kini
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Had Laparoscopic Cholecystectomy. Having Episodes Of Pain Above Sternal Notch Radiating To Back Even After Surgery. Reason?

Hi, Thanks for posting your query. I am Dr.Ratnakar Kini and I am pleased to you. Most often it is due to stone in the common bile duct. But since stents have been placed, it is less likely. On the other hand, a blocked stent may cause this symptom. There may be additional symptoms like fever and jaundice depending upon whether is complete obstruction and which of the stents is blocked. But sometimes it can be due to unrelated causes like a peptic ulcer disease. An upper GI endoscopy and a ultrasound scan of the abdomen may be done for evaluation. Regards, Dr.Ratnakar Kini