{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:31:06Z","timestamp":1786739466318,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Relationship between postcholecystectomy bile duct dilatation and associated symptomatology is a potential dilemma for treating surgeon for which various studies with variable results have been documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This study is a 1 year prospective study conducted at IGMC, Shimla after taking proper consent and ethical approval from institutional ethical committee. Total 50 cases of symptomatic cholelithiasis belonging to either sex admitted in surgical wards of IGMC, Shimla for elective surgery were selected for present study. Cholecystectomy was done in all cases after doing all investigations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Postoperatively within 48 h symptoms were observed in 29 patients. Out of these, flatulence was present in 1, nausea and vomiting in 7 and 8, respectively. Combined flatulence vomiting in 5 and flatulence-reflux-nausea in 1 patient. After 1 month of interval, all patients were symptom free.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Symptoms which were present in the postoperative patients were unrelated to dilatation of common bile duct. Either these symptoms were the persistent symptoms present before the operation or related to anaesthetic drugs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_694_20","type":"journal-article","created":{"date-parts":[[2020,7,26]],"date-time":"2020-07-26T10:08:40Z","timestamp":1595758120000},"page":"3464-3469","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Post cholecystectomy common bile duct dilatation and associated symptomatology"],"prefix":"10.4103","volume":"9","author":[{"given":"Rajan","family":"Sood","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of General Surgery, Dr. Yashwant Singh Parmar Govt. Medical College & Hospital, Nahan, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Sharma","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Radiodiagnosis & Imaging, Dr. Yashwant Singh Parmar Govt. Medical College & Hospital, Nahan, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girish","family":"Sharma","sequence":"additional","affiliation":[{"name":"Professor & Head, Department of Anaesthesiology, Dr. Yashwant Singh Parmar Govt. Medical College & Hospital, Nahan, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailendra","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of General Surgery, Dr. Yashwant Singh Parmar Govt. Medical College & Hospital, Nahan, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,7]]},"reference":[{"key":"R1-20260813","first-page":"437","article-title":"The effect of removal of the gall bladder: An experimental study","volume":"24","author":"Judd","year":"1917","journal-title":"Surg Gynecol Obstet"},{"key":"R2-20260813","doi-asserted-by":"crossref","first-page":"97","DOI":"10.4174\/jkss.2012.83.2.97","article-title":"Common bile duct dilatation after cholecystectomy: A one-year prospective study","volume":"83","author":"Park","year":"2012","journal-title":"J Korean Surg Soc"},{"key":"R3-20260813","first-page":"725","article-title":"Ein Fall von Exstirpation der Gallenblase wegen chronischer Cholelithiasis. Heilung","volume":"48","author":"Langenbuch","year":"1882","journal-title":"Berliner Klinische Wochenschrift"},{"key":"R8-20260813","first-page":"113","article-title":"Evaluation of effect of cholecystectomy on common bile duct diameter using ultrasonography and liver function test: A prospective study","volume":"4","author":"Singh","year":"2017","journal-title":"Int J Contemp Med Res"},{"key":"R11-20260813","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1001\/jama.1923.02650090002002","article-title":"Condition of common duct after cholecystectomy","volume":"81","author":"Judd","year":"1923","journal-title":"JAMA"},{"key":"R12-20260813","first-page":"100","article-title":"Long term follow up after open cholecystectomy.Br","volume":"80","author":"Konsten","year":"1993","journal-title":"J Surg"},{"key":"R13-20260813","first-page":"58","article-title":"Effect of cholecystectomy on common bile duct. An ultrasonographic study","author":"Goyal","year":"1999","journal-title":"Surg J N India"},{"key":"R14-20260813","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/0002-9343(85)90013-0","article-title":"Laboratory tests and diagnostic procedures in evaluation of liver disease","volume":"79","author":"Chopra","year":"1985","journal-title":"Am J Med"},{"key":"R15-20260813","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1002\/bjs.1800831213","article-title":"Influence of cholecystectomy on symptoms","volume":"83","author":"Bates","year":"1996","journal-title":"Br J Surg"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_694_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:29:10Z","timestamp":1786735750000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_694_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":9,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_694_20","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]},"assertion":[{"value":"2020-04-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}