Causes of elevated total bile acids after cholecystectomy

Sep 27, 2022 Source: Cainiu Health
Disease description:

I had a cholecystectomy two days ago. Today's follow-up test results show elevated total bile acids. What causes elevated total bile acids after gallbladder removal?

Doctor's answer (1)
Dr. Gao Jun

Elevated total bile acids after cholecystectomy may result from physiological factors such as consuming large amounts of high-fat foods, overeating, or pregnancy, which typically do not require special treatment.

In addition, cholecystectomy increases the risk of developing biliary stones. Once formed, these stones may obstruct the bile ducts, hindering the excretion of total bile acids and potentially causing reflux, ultimately leading to elevated total bile acid levels. This situation warrants attention, and further evaluation and appropriate treatment should be considered when necessary.