Symptomatic gallstones after sleeve gastrectomy

Li, Vicky Ka Ming; Pulido, Nestor; Martinez-Suartez, Pedro; Fajnwaks, Patricio; Jin, Hei Ying; Szomstein, Samuel; Rosenthal, Raúl J.

doi:10.1007/s00464-009-0422-6

Cited by 70 publications

(40 citation statements)

References 26 publications

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“…In our study we found 5.8 % of sleeve patients and 6.4 % of LRYGB patients, already had their gallbladder removed or had gallstone disease before the operation. This result is similar to that of other studies (16,18). Portenier et al (14) argued that the incidence of delayed cholecystectomy for symptoms or complications of gallstone formation was much lower than the ≥30% reported to develop gallstones and suggested an expectant approach of the asymptomatic cholelithiasis in LRYGB patients.…”

supporting

confidence: 88%

“…Of our LRYGB group, 9.7 % developed symptomatic cholelithiasis and underwent laparoscopic cholecystectomy, this result is the same in many studies done by Nagem et al (15)and Li et al (16) which reported a rate ranged from 6.7 to 11.8%, theoretically, cholelithiasis is less common after laparoscopic sleeve gastrectomy, because the procedure does not alter the gastrointestinal pathway (16,17).…”

supporting

confidence: 81%

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The Incidence of Cholelithiasis After Corrective Weight Loss Surgery.

Arnaout¹,

Bahram.²

2017

IJAR

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supporting

confidence: 88%

supporting

confidence: 81%

The Incidence of Cholelithiasis After Corrective Weight Loss Surgery.

Arnaout¹,

Bahram.²

2017

IJAR

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“…Many studies reported up to 15-25 % incidence 5 years after gastric surgery [1][2][3][4][5][6] with a mean value estimated of 17 % in all studies [1][2][3][4][5][6][7]. Without a specific evidence in the literature, some authors [4,11] recommend to perform a prophylactic cholecystectomy at the time of gastric surgery, while others do not [1,7] and the decision of gallbladder management is left, to date, to each surgeon's preference.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies reported a three-four fold increased incidence 5 years after gastric surgery (up to 15-25 %) [1][2][3][4][5][6] with an estimated mean value of 17 % in all studies [1][2][3][4][5][6][7]. The underlying mechanism was thought to be related to surgical dissection of the vagus nerve branches and the anatomical gastrointestinal reconstruction [5,[8][9][10], and to the extent of gastrectomy and lymphadenectomy [1,4,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

The Cholegas Study: safety of prophylactic cholecystectomy during gastrectomy for cancer: preliminary results of a multicentric randomized clinical trial

et al. 2012

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Background Cholelithiasis is more frequent in patients after gastrectomy, due to dissection of vagal branches and gastrointestinal reconstruction. Methods A randomized controlled trial was conducted from November 2008 to March 2012. Patients were randomized into two groups: prophylactic cholecystectomy (PC) and standard gastric surgery only (SS) for curable cancers. We planned three end points: evaluation of the number of patients who developed symptoms and needed further surgery for cholelithiasis after standard gastric cancer surgery, evaluation of the incidence of cholelithiasis overall after standard gastric cancer surgery and perioperative complications or costs of prophylactic cholecystectomy. The present study answers to the last end point only.

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“…Some specialists suggest performing routine cholecystectomy at the time of gastric bypass, especially considering the technical difficulties in performing endoscopic retrograde cholangiopancreatography after RYGB [44]. However, most surgeons perform cholecystectomy only if the patient is symptomatic [45]. A possible approach is administration of ursodeoxycholic acid (UDA) post-operatively.…”

Section: Management Of Hepatobiliary Complicationsmentioning

confidence: 99%

Management of the post-bariatric surgery patient – what an internist needs to know

Handzlik-Orlik

Holecki

Kędzierski

et al. 2016

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Bariatric surgery is the most effective method of achieving long-lasting weight loss and improving metabolic and cardiovascular outcomes in selected obese patients (i.e. with body mass index [BMI] ≥ 40 kg/m 2 without coexisting morbidities or BMI ≥ 35 kg/m 2 with severe obesity-related diseases). As the epidemic of obesity grows, it is estimated that by 2030 around 11% of the population will be severely obese. Therefore, the number of bariatric procedures performed increases year after year, and it reached 179,000 in 2013. Bariatric procedures can be divided into three main types: restrictive, malabsorptive, and mixed procedures. While, careful multi-disciplinary preoperative assessment of the patient is an inseparable part of bariatric procedures, there is also a need for multi-disciplinary management after bariatric surgery. This should include surveillance by an internist, surgeon and registered dietician. However, treatment outcome is primarily dependent on the patient's compliance and awareness of the need for regular follow-up. This cannot be achieved without proper behavioral and psychological support, as it is as vital as other surveillance aspects. In this review we discuss early and late complications of bariatric surgery, its influence on obesity-related diseases, and changes in body composition and metabolism. According to recent guidelines and recommendations of American and European medical societies, we summarize available standards of post-bariatric management.

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Symptomatic gallstones after sleeve gastrectomy

Abstract: There was no significant difference in symptomatic or complicated gallstone disease between the patients treated with laparoscopic SG and those treated with laparoscopic RYGBP. Routine prophylactic cholecystectomy should not be recommended for weight reduction during laparoscopic SG.

Cited by 70 publications

References 26 publications

The Incidence of Cholelithiasis After Corrective Weight Loss Surgery.

The Incidence of Cholelithiasis After Corrective Weight Loss Surgery.

The Cholegas Study: safety of prophylactic cholecystectomy during gastrectomy for cancer: preliminary results of a multicentric randomized clinical trial

Management of the post-bariatric surgery patient – what an internist needs to know

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