SO dysfunction occurs in both the pediatric and adult population at any age, but it is predominately seen in post-cholecystectomy middle-aged women. The diagnosis of SO dysfunction should be considered in the following three groups: (1) patients with postcholecystectomy abdominal pain, (2) patients with idiopathic recurrent pancreatitis, and (3) patients with episodic right upper quadrant or epigastric pain (biliary-type pain) with intact gallbladders and negative diagnostic tests (abdominal US and gallbladder ejection fraction). Postcholecystectomy pain that resembles preoperative biliary pain is reported to occur in up to 20% of patients.

FIGURE 134-4. Ampullectomy of ampullary adenoma. A, ampullary adenoma, B, snare electrocautery, C, post-ampullectomy, D, pancreatic duct stent.
Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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