{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T23:53:44Z","timestamp":1783036424197,"version":"3.54.6"},"reference-count":0,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":3287,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:p>The so\u2010called \u201cPostcholecystectomy Syndrome\u201d may be due to various pathological biliary causes. The\naim of this study was to evaluate the significance of the cystic duct stump syndrome and if so, how often a\nlong (&gt;1.5 cm) cystic duct stump was an indication for reoperation on the bile ducts after cholecystectomy\nin our patients. Three hundred and twenty two patients underwent a second operation on the bile\nducts after cholecystectomy in the last ten years. In 35 patients (10.8%) a striking finding was a long\ncystic duct stump (&gt;1.5 cm). In 24 of these patients, a pathological finding, in addition to the long cystic\nduct stump, was found on exploration. Out of these 24 patients there were 14 with common bile duct\nstones; 6 with stenosis of the sphincter of Oddi; 3 with chronic pancreatitis and in one patient hepatitis\nwas the cause of the symptoms. From the remaining 11 patients 8 had a stone in a partial gall bladder or\ncystic duct stump. One patient had a fistula between the cystic duct stump and duodenum and one a\nsuture granuloma. There was only one patient where a 1.5 cm long cystic duct stump remnant was the\nonly pathological finding. Four years after reoperation this patient is still suffering from the same\nintermittent gastrointestinal symptoms. We conclude that the cystic duct stump is hardly ever a cause for\nrecurrent symptoms in itself. Total excision of the cystic duct does not eliminate the existence of\npostcholecystectomy symptoms.<\/jats:p>","DOI":"10.1155\/1991\/57017","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"129-135","source":"Crossref","is-referenced-by-count":37,"title":["Reoperation After Cholecystectomy. TheRole of the Cystic Duct Stump"],"prefix":"10.1155","volume":"4","author":[{"given":"M. A.","family":"Rogy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"F\u00fcgger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Herbst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Schulz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1991,1]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1991\/057017.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1991\/57017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:22:07Z","timestamp":1723076527000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1991\/57017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.1155\/1991\/57017"],"URL":"https:\/\/doi.org\/10.1155\/1991\/57017","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"value":"0894-8569","type":"print"},{"value":"1607-8462","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,1]]}}}