Characterization and Risk Factors for Early Biliary Complications Following Elective Bariatric Surgery: an Mbsaqip Analysis

Verhoeff, Kevin; Mocanu, Valentin; Dang, Jerry; Switzer, Noah; Birch, Daniel W.; Karmali, Shahzeer

doi:10.1007/s11695-022-05914-3

Cited by 2 publications

(3 citation statements)

References 32 publications

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“…People with obesity have a higher risk of developing cholelithiasis than nonobese people, and bariatric surgery, despite inducing rapid weight loss, can increase the chance of developing cholelithiasis [ 36 , 44 ]. The RYGB procedure, in particular, has been linked to an increased risk of cholelithiasis because of its ability to rapidly lose more weight [ 45 ]. This meta-analysis shows that initial BMI is not a risk factor.…”

Section: Discussionmentioning

confidence: 99%

“…A randomized controlled trial conducted by Ahmed Talha [ 47 ] showed that higher %EWL in short-term follow-up was the cause of postoperative cholelithiasis. However, due to the difficulty of definition and the difficulty of controlling confounding factors, studies using these factors as risk factors need to be carefully designed [ 45 ]. In addition, the heterogeneity of this research in weight loss was too high, and no source of heterogeneity was found, so the conclusions must be interpreted cautiously, and more research is needed to confirm the findings.…”

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Dai

Luo

2023

Lipids Health Dis

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Background Obesity has been identified as an independent risk factor for cholelithiasis. As a treatment for obesity, bariatric surgery may increase the incidence of cholelithiasis. The risk factors for cholelithiasis after bariatric surgery remain uncertain. The purpose of this study was to explore the risk factors for postoperative cholelithiasis after weight-loss surgery and propose suggestions for clinical decision making. Methods Four databases, PubMed, EMBASE, Web of Science and Cochrane, were systematically searched for all reports about cholelithiasis after bariatric surgery, and literature screening was performed following prespecified inclusion criteria. The included studies were all evaluated for quality according to the NOS scale. Data extraction was followed by analysis using Reviewer Manager 5.4 and StataSE 15. Results A total of 19 articles were included in this meta-analysis, and all studies were of high quality. A total of 20,553 patients were included in this study. Sex [OR = 0.62, 95% CI (0.55, 0.71), P < 0.00001] and race [OR = 1.62, 95% CI (1.19, 2.19), P = 0.002] were risk factors for cholelithiasis after bariatric surgery. Surgical procedure, preoperative BMI, weight-loss ratio, smoking, hypertension, diabetes mellitus, and dyslipidemia were neither protective nor risk factors for cholelithiasis after bariatric surgery. Conclusion Caucasian race and female sex are risk factors for developing cholelithiasis after bariatric surgery; surgical procedure, BMI, weight loss ratio, hypertension, diabetes mellitus, dyslipidemia, and smoking are not risk factors for cholelithiasis after bariatric surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Dai

Luo

2023

Lipids Health Dis

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“…Múltiples estudios han demostrado que la obesidad y el estrés quirúrgico aumentan el riesgo de sufrir complicaciones biliares y coledocolitiasis; incluso se ha visto una relación directa de la pérdida de peso luego de un procedimiento metabólico con el riesgo de desarrollar litiasis biliar [6][7][8][9] . En los pacientes con antecedente de manga gástrica no existe inconveniente para realizar una colangiopancreatografía retrograda endoscópica (CPRE), sin embargo, en los pacientes con antecedente de baipás gástrico, la CPRE convencional no es una alternativa, debido a la alteración en la anatomía gastrointestinal, representando un reto terapéutico para el personal de salud.…”

Section: Introductionunclassified

Colangiopancreatografía endoscópica asistida por laparoscopia para el tratamiento de coledocolitiasis en pacientes con Y de Roux

López-Uribe¹,

Naranjo-Salazar²,

Botero³

et al. 2023

Rev Colomb Cir

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Introducción. Los pacientes con antecedente de baipás gástrico que presentan coledocolitiasis no pueden ser tratados con la técnica convencional de colangiopancreatografía retrógrada endoscópica. En estos casos, la vía transgástrica abierta o asistida por laparoscopia, se convierte en una excelente alternativa a la exploración abierta de la vía biliar. Métodos. Estudio retrospectivo que incluyó pacientes adultos con coledocolitiasis y antecedente de gastrectomía subtotal o baipás gástrico con Y de Roux, llevados a colangiopancreatografía endoscópica transgástrica laparoasistida, entre enero de 2019 y diciembre de 2021, en la Clínica CES de Medellín, Colombia. Resultados. Se encontraron siete pacientes, todos con antecedente de baipás gástrico para el manejo de la obesidad. La tasa de identificación y canulación de la vía biliar y extracción de cálculos fue del 100 % mediante el abordaje transgástrico laparo-asistido. Conclusión. De acuerdo con varias revisiones sistemáticas, esta técnica es relativamente fácil de implementar y segura, presentando una tasa de complicaciones inferior a 5 %. Se propone una variante de esta técnica.

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Characterization and Risk Factors for Early Biliary Complications Following Elective Bariatric Surgery: an Mbsaqip Analysis

Cited by 2 publications

References 32 publications

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Colangiopancreatografía endoscópica asistida por laparoscopia para el tratamiento de coledocolitiasis en pacientes con Y de Roux

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