Comparison of the incidence of cholelithiasis after sleeve gastrectomy and Roux-en-Y gastric bypass: a meta-analysis

Wan, Qianyi; Zhao, Rui; Chen, Yi; Wang, Yong; Wu, Yutao; Wu, Xiaoting

doi:10.1016/j.soard.2021.02.003

Cited by 8 publications

(4 citation statements)

References 36 publications

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“…Although two studies in the included studies suggested that RYGB increased the risk of postoperative cholelithiasis, the results of this meta-analysis show that RYGB does not increase the risk of postoperative cholelithiasis. A previous meta-analysis showed that the incidence of cholelithiasis after RYGB was higher than that after SG [ 42 ] We read this meta-analysis carefully and found that the reason for the difference between our conclusions may be that we excluded studies using UCDA intervention, whereas Wan et al did not control for that possible bias. In conclusion, it still needs to be decided according to the patients’ condition as well as whether cholecystectomy should be performed before or during the operation.…”

Section: Discussionmentioning

confidence: 87%

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: 87%

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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“…Cholelithiasis and choledocholithiasis are more frequently seen after bariatric surgery, with Roux-en-Y gastric bypass carrying a higher risk than sleeve gastrectomy. 1 , 2 Accessing the biliary system with traditional endoscopic methods like balloon enteroscopy carries a reported technical success rate of 60% to 70%. 2 , 3 Our patient had a unique scenario of concomitant choledocholithiasis and large (>3 cm) cholelithiasis posing a risk for gallbladder cancer, Mirizzi syndrome, and recurrent choledocholithiasis.…”

Section: Discussionmentioning

confidence: 99%

Transjejunal ERCP, EUS-guided gallbladder drainage, and cholecystoscopy with direct electrohydraulic lithotripsy with large gallstone removal in Roux-en-Y anatomy

Chatterjee¹,

Nasser²,

Chahal³

2023

VideoGIE

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“…The group of patients submitted to the SG procedure had a 35% lower rate of gallstone formation in a meta-analysis of eight cohort studies published in 2021 (in which 94855 SGs and 106844 RYGBs were performed). This clarifies that RYGB surgery is related to a major risk of formation of gallstone than other types of bariatric surgeries[ 5 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 94%

Biliary complications associated with weight loss, cholelithiasis and choledocholithiasis

Ribeiro Jr,

Tebar,

Niero

et al. 2024

World J Gastrointest Pharmacol Ther

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Biliary complications like cholelithiasis and choledocholithiasis are more common in bariatric surgery patients due to obesity and rapid weight loss. Patients with a body mass index > 40 face an eightfold risk of developing cholelithiasis. Post-bariatric surgery, especially after laparoscopic Roux-en-Y gastric bypass (LRYGB), 30% of patients develop biliary disease due to rapid weight loss. The aim of this review is to analyze the main biliary complications that occur after bariatric surgery and its management. A review of the literature was conducted mainly from 2010 up to 2023 with regard to biliary complications associated with bariatric patients in SciELO, PubMed, and MEDLINE. Patients undergoing LRYGB have a higher incidence (14.5%) of symptomatic calculi post-surgery compared to those undergoing laparoscopic sleeve gastrectomy at 4.1%. Key biliary complications within 6 to 12 months post-surgery include: Cholelithiasis: 36%; Biliary colic/dyskinesia: 3.86%; Acute cholecystitis: 0.98%-18.1%; Chronic cholecystitis: 70.2%; Choledocholithiasis: 0.2%-5.7% and Pancreatitis: 0.46%-9.4%. Surgeons need to be aware of these complications and consider surgical treatments based on patient symptoms to enhance their quality of life.

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Comparison of the incidence of cholelithiasis after sleeve gastrectomy and Roux-en-Y gastric bypass: a meta-analysis

Cited by 8 publications

References 36 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

Transjejunal ERCP, EUS-guided gallbladder drainage, and cholecystoscopy with direct electrohydraulic lithotripsy with large gallstone removal in Roux-en-Y anatomy

Biliary complications associated with weight loss, cholelithiasis and choledocholithiasis

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