Episode Details

Is the "constant drip" of bile into the small intestine after gallbladder removal actually causing harm? We explore the physiological reasoning behind post-cholecystectomy syndrome, examining how continuous bile acid exposure might trigger duodenal inflammation, disrupt signaling pathways, and contribute to SIBO. We also review the mixed evidence, the percentage of patients affected, and the current treatment options—from bile acid sequestrants to UDCA—while acknowledging the limits of today's workarounds.