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Comparison of cholecystectomy cases after Roux-en-Y gastric bypass, sleeve gastrectomy, and gastric banding.
Surg Obes Relat Dis. 2014 Jan-Feb; 10(1):64-8.SO

Abstract

BACKGROUND

Rapid weight loss after bariatric surgery has been a factor of inducing gallstones postoperatively. Many studies have reported increased gallstone formation after laparoscopic Roux-en-Y gastric bypass (LRYGB). However, not many studies have compared symptomatic gallstone frequencies between LRYGB, laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB). The aim of our study is to evaluate symptomatic cholelithiasis cases requiring cholecystectomy after each bariatric procedure.

METHODS

Between January 2009 and August 2011, a total of 937 patients underwent bariatric surgery at our institution. Of these patients, 598 had primary LRYGB, 197 had LSG, and 142 had LAGB. We excluded patients with previous cholecystectomy or concomitant cholecystectomy at the time of bariatric procedure. A retrospective review of a prospectively collected database was performed for all patients.

RESULTS

Of 367 LRYGB patients, 5.7% (n = 21) had symptomatic gallstones. Of 115 LSG patients, 6.1% (n = 7) required cholecystectomy, and of 104 LAGB patients, .0% (n = 0) developed symptomatic gallstones. The differences in the occurrences of symptomatic gallstones between LRYGB and LSG were not statistically significant (P>.88). However, statistical significance was present between LRYGB and LAGB (P<.02), as well as between LSG and LAGB (P<.02). Mean percentage of excess weight loss (%EWL) at 24 months was 85.7%, 58.8%, and 38.3% in LRYGB, LSG, and LAGB patients, respectively. There was no complication related to the cholecystectomy procedure.

CONCLUSIONS

Frequency of symptomatic gallstones after LRYGB and LSG was not significantly different and after LAGB was significantly lower. Slow and less amount of weight loss would have contributed to the low rate of symptomatic gallstone formation in the LAGB patients.

Authors+Show Affiliations

Department of Bariatric Surgery, Orlando Regional Medical Center & Bariatric and Laparoscopy Center, Orlando Health, Orlando, Florida.Department of Bariatric Surgery, Orlando Regional Medical Center & Bariatric and Laparoscopy Center, Orlando Health, Orlando, Florida.Department of General Surgery, Orlando Regional Medical Center, Orlando Health, Orlando, Florida.Department of Bariatric Surgery, Orlando Regional Medical Center & Bariatric and Laparoscopy Center, Orlando Health, Orlando, Florida.Department of Bariatric Surgery, Orlando Regional Medical Center & Bariatric and Laparoscopy Center, Orlando Health, Orlando, Florida. Electronic address: muhammad.jawad@orlandohealth.com.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23932005

Citation

Moon, Rena C., et al. "Comparison of Cholecystectomy Cases After Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Gastric Banding." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 1, 2014, pp. 64-8.
Moon RC, Teixeira AF, DuCoin C, et al. Comparison of cholecystectomy cases after Roux-en-Y gastric bypass, sleeve gastrectomy, and gastric banding. Surg Obes Relat Dis. 2014;10(1):64-8.
Moon, R. C., Teixeira, A. F., DuCoin, C., Varnadore, S., & Jawad, M. A. (2014). Comparison of cholecystectomy cases after Roux-en-Y gastric bypass, sleeve gastrectomy, and gastric banding. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(1), 64-8. https://doi.org/10.1016/j.soard.2013.04.019
Moon RC, et al. Comparison of Cholecystectomy Cases After Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Gastric Banding. Surg Obes Relat Dis. 2014 Jan-Feb;10(1):64-8. PubMed PMID: 23932005.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of cholecystectomy cases after Roux-en-Y gastric bypass, sleeve gastrectomy, and gastric banding. AU - Moon,Rena C, AU - Teixeira,Andre F, AU - DuCoin,Christopher, AU - Varnadore,Sheila, AU - Jawad,Muhammad A, Y1 - 2013/06/04/ PY - 2013/03/05/received PY - 2013/04/15/revised PY - 2013/04/27/accepted PY - 2013/8/13/entrez PY - 2013/8/13/pubmed PY - 2014/10/25/medline KW - Cholecystectomy KW - Cholelithiasis KW - Gastric banding KW - Gastric bypass KW - Sleeve gastrectomy KW - Symptomatic gallstones SP - 64 EP - 8 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 1 N2 - BACKGROUND: Rapid weight loss after bariatric surgery has been a factor of inducing gallstones postoperatively. Many studies have reported increased gallstone formation after laparoscopic Roux-en-Y gastric bypass (LRYGB). However, not many studies have compared symptomatic gallstone frequencies between LRYGB, laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB). The aim of our study is to evaluate symptomatic cholelithiasis cases requiring cholecystectomy after each bariatric procedure. METHODS: Between January 2009 and August 2011, a total of 937 patients underwent bariatric surgery at our institution. Of these patients, 598 had primary LRYGB, 197 had LSG, and 142 had LAGB. We excluded patients with previous cholecystectomy or concomitant cholecystectomy at the time of bariatric procedure. A retrospective review of a prospectively collected database was performed for all patients. RESULTS: Of 367 LRYGB patients, 5.7% (n = 21) had symptomatic gallstones. Of 115 LSG patients, 6.1% (n = 7) required cholecystectomy, and of 104 LAGB patients, .0% (n = 0) developed symptomatic gallstones. The differences in the occurrences of symptomatic gallstones between LRYGB and LSG were not statistically significant (P>.88). However, statistical significance was present between LRYGB and LAGB (P<.02), as well as between LSG and LAGB (P<.02). Mean percentage of excess weight loss (%EWL) at 24 months was 85.7%, 58.8%, and 38.3% in LRYGB, LSG, and LAGB patients, respectively. There was no complication related to the cholecystectomy procedure. CONCLUSIONS: Frequency of symptomatic gallstones after LRYGB and LSG was not significantly different and after LAGB was significantly lower. Slow and less amount of weight loss would have contributed to the low rate of symptomatic gallstone formation in the LAGB patients. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/23932005/Comparison_of_cholecystectomy_cases_after_Roux_en_Y_gastric_bypass_sleeve_gastrectomy_and_gastric_banding_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(13)00172-X DB - PRIME DP - Unbound Medicine ER -