Do gallstones found before sleeve gastrectomy behave the same as those formed after surgery due to weight loss?

Conley, Alexandria; Tarboush, Moayad; Manatsathit, Wuttiporn; Meguid, Ahmed; Szpunar, Suzanna; Hawasli, Abdelkader

doi:10.1016/j.amjsurg.2016.01.039

Cited by 9 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have reported that asymptomatic gallstones become symptomatic after LSG, with rates varying between 6% and 23%. 10-13 In our study, 97.6% of the cases (n = 41) remained asymptomatic during an average follow-up period of 17 months. Only 1 patient experienced a biliary colic episode at 17 months and subsequently underwent elective cholecystectomy.…”

Section: Discussionmentioning

confidence: 46%

Risk of Asymptomatic Gallstones Becoming Symptomatic After Laparoscopic Sleeve Gastrectomy

Şen

Türkçapar²

2021

The American Surgeon

View full text Add to dashboard Cite

Background Whether concomitant cholecystectomy is needed during laparoscopic sleeve gastrectomy (LSG) in patients with asymptomatic cholelithiasis is controversial. In this study, our aim is to show the follow-up results in patients with asymptomatic cholelithiasis who underwent LSG alone. Methods Patients undergoing primary LSG between March 2018 and September 2020 with asymptomatic gallbladder stones were included in this retrospective study. All patients underwent abdominal ultrasound (US) before surgery. Patients’ demographics and postoperative outcomes were recorded. Results A total of 180 patients underwent primary LSG and completed the 1-year follow-up. The study population consisted of 42 patients (23%) with asymptomatic cholelithiasis. The mean age was 41.1±7.1 years (31-56, 63% female), and mean body mass index (BMI) was 44 ± 6.7 kg/m2. Average BMI decreased to 31.1 ± 4.7 kg/m2 at 6 months and to 27.3 ± 3.6 kg/m2 at 1 year. The average follow-up period was 17 ± 5.7 months (range, 12-28 months). Of the 42 patients, only 1 patient (2.4%) became symptomatic during the follow-up period. Discussion We do not recommend cholecystectomy in patients with asymptomatic gallstones during the same session with LSG. An observational approach should be adopted for these patients.

show abstract

Section: Discussionmentioning

confidence: 46%