The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery
Aim:Obesity has become a rapidly increasing public health problem all over the world. Obesity itself is a risk factor for cholelithiasis, and the fast weight loss period after bariatric surgery is a situation that increases this risk. The fact that both obesity and surgical treatment of obesity incr...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-01-01
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| Series: | Haseki Tıp Bülteni |
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http://www.hasekidergisi.com/archives/archive-detail/article-preview/the-fate-of-the-gallbladder-in-patients-admitted-t/43963
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| _version_ | 1797912253737992192 |
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| author | Mehmet Celal Kızılkaya Serhan Yılmaz |
| author_facet | Mehmet Celal Kızılkaya Serhan Yılmaz |
| author_sort | Mehmet Celal Kızılkaya |
| collection | DOAJ |
| description | Aim:Obesity has become a rapidly increasing public health problem all over the world. Obesity itself is a risk factor for cholelithiasis, and the fast weight loss period after bariatric surgery is a situation that increases this risk. The fact that both obesity and surgical treatment of obesity increases the formation of stones in the gall bladder has made it even defendible that cholecystectomy should be performed routinely during the bariatric surgery at one stage, even if there is no cholelithiasis. In this study, we aimed to evaluate our gallbladder approach in patients who were decided to undergo bariatric surgery in our center, together with the literature reviews.Methods:In our study, the data of 185 patients who underwent bariatric surgery due to obesity in the University of Health Sciences Kanuni Sultan Suleyman the in Istanbul Training and Research Hospital Clinic of, Department of General Surgery, between 2018 and 2020 were retrospectively obtained. A total of 185 patients were included in the study. The patients were divided into group 1 (sleeve gastrectomy) and Group 2 (gastric bypass) according to their operation techniques.Results:The average age was 36.43 ± 9.52, the ratio of women/men was 151 (81.6%)/34 (18.4%). Mean body mass index (BMI) was determined as 44.16±5.09. In the postoperative period, gallstones were formed in 27 (14.6%) patients, whereas gallstones were not detected in 158 (85.4%) patients. There was no significant difference between the groups in terms of postoperative gallstone formation.Conclusion:In the light of the literature and after our clinical experience, we do not require routine imaging of the gallbladder before bariatric surgery in asymptomatic patients, and we recommend performing concomitant cholecystectomy only in symptomatic patients. |
| first_indexed | 2024-04-10T11:53:37Z |
| format | Article |
| id | doaj.art-4d85310d22ec41e3ab74efe2a140f6b3 |
| institution | Directory Open Access Journal |
| issn | 2147-2688 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T11:53:37Z |
| publishDate | 2021-01-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-4d85310d22ec41e3ab74efe2a140f6b32023-02-15T16:16:59ZengGalenos YayineviHaseki Tıp Bülteni2147-26882147-26882021-01-01591808410.4274/haseki.galenos.2021.671613049054The Fate of the Gallbladder in Patients Admitted to Bariatric SurgeryMehmet Celal Kızılkaya0Serhan Yılmaz1 University of Health Sciences Turkey, Kanuni Sultan Suleyman Training and Research Hospital, Clinic of General Surgery, Istanbul, Turkey University of Health Sciences Turkey, Kanuni Sultan Suleyman Training and Research Hospital, Clinic of General Surgery, Istanbul, Turkey Aim:Obesity has become a rapidly increasing public health problem all over the world. Obesity itself is a risk factor for cholelithiasis, and the fast weight loss period after bariatric surgery is a situation that increases this risk. The fact that both obesity and surgical treatment of obesity increases the formation of stones in the gall bladder has made it even defendible that cholecystectomy should be performed routinely during the bariatric surgery at one stage, even if there is no cholelithiasis. In this study, we aimed to evaluate our gallbladder approach in patients who were decided to undergo bariatric surgery in our center, together with the literature reviews.Methods:In our study, the data of 185 patients who underwent bariatric surgery due to obesity in the University of Health Sciences Kanuni Sultan Suleyman the in Istanbul Training and Research Hospital Clinic of, Department of General Surgery, between 2018 and 2020 were retrospectively obtained. A total of 185 patients were included in the study. The patients were divided into group 1 (sleeve gastrectomy) and Group 2 (gastric bypass) according to their operation techniques.Results:The average age was 36.43 ± 9.52, the ratio of women/men was 151 (81.6%)/34 (18.4%). Mean body mass index (BMI) was determined as 44.16±5.09. In the postoperative period, gallstones were formed in 27 (14.6%) patients, whereas gallstones were not detected in 158 (85.4%) patients. There was no significant difference between the groups in terms of postoperative gallstone formation.Conclusion:In the light of the literature and after our clinical experience, we do not require routine imaging of the gallbladder before bariatric surgery in asymptomatic patients, and we recommend performing concomitant cholecystectomy only in symptomatic patients. http://www.hasekidergisi.com/archives/archive-detail/article-preview/the-fate-of-the-gallbladder-in-patients-admitted-t/43963 obesitybariatric surgerycholelithiasischolecystectomygallstone |
| spellingShingle | Mehmet Celal Kızılkaya Serhan Yılmaz The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery Haseki Tıp Bülteni obesity bariatric surgery cholelithiasis cholecystectomy gallstone |
| title | The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery |
| title_full | The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery |
| title_fullStr | The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery |
| title_full_unstemmed | The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery |
| title_short | The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery |
| title_sort | fate of the gallbladder in patients admitted to bariatric surgery |
| topic | obesity bariatric surgery cholelithiasis cholecystectomy gallstone |
| url |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/the-fate-of-the-gallbladder-in-patients-admitted-t/43963
|
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