Bile duct injury

Posted By Jane B. on August 10, 1998 at 17:41:20:







In April I underwent laparscopic cholecystectomy in which the surgeon transected the common bile duct at the level of the porta hepatis.  A second surgeon assesed that roux-en-y choledochohepaticojejunostomy was to be carried out with stent placement.  The only post-operative complication was the falling of the stent which resulted in a small bile leak.  The leak was managed with conservative treatment and  I was released 3 weeks later.
Since then I have experienced periods of lower abdominal pain with diarreah (diarrhea) and also upper stomach pain with vomitting. The lower abdominal pain is associated with eating fat, the stomach pain is not associated and can come anytime.  I have been hospitalized often and had several hida scans, ultrasound and a small bowel series that show no abnormalities.  The most recent hospitalization was for septicemia.  My liver enzymes were elevated and there was right upper quandrant pain when palpated.  Again, hida scan, ultrasound were normal, with no signs of dilation or stricture or obstruction.  My Drs. have said after each attack, especially the most recent that it must be the FLU.  I think that the attacks are related to the surgery in some way.  Can you elighten me in any way what type of long term affects that this type of surgery usually has?  I have tried Questran and cisapride but have had attacks anyway.  Are they related to eating fat ( I have practically eliminated fat from my diet and still the attacks occur).  Any advise would be appreciated