Bariatric Surgery and Urinary Stone Disease

Abstract

ÖzetÖnemli bir halk sağlığı problemi olan obezitenin üriner sistem taş hastalığı etyolojisinde rol oynadığı ileri sürülmektedir. Bununla birlikte, obezitenin tedavisinde kullanımı giderek yaygınlaşan obezite cerrahisi de üriner sistem taş hastalığı ile ilişkili görünmektedir. Günlük pratikte, obezite cerrahisi planlanan veya uygulanmış hastalar daha sık karşımıza çıkmaktadır. Derleme bu hasta grubunun yönetiminin ürolojik açıdan değerlendirilmesini amaçlamıştır. Anahtar KelimelerÜriner Taş Hastalığı; Obezite Cerrahisi AbstractObesity is a major public health problem and has been suggested to play a role in the etiology of urinary tract stone disease. Furthermore, the increasingly widespread use of surgery in the treatment of obesity also is related with urinary stone disease. In daily practice, patients to whom obesity surgery has been planned or who have undergone obesity surgery are seen more frequently. This review aims to highlight the urological evaluation and management of this patient group.

Ureterorenoscopic Treatment of Distal Ureteral Stones in Morbidly Obese

“…According to previous studies, approximately 11.5 million Americans are estimated to be morbidly obese. [10,11] In our country, according to the data of the Ministry of Health, the incidence of overweight and obesity are 20.5% in females and 41% in females with an overall rate of 30.3%. Besides, the prevalence of morbid obesity is 2.9%.…”

“…Therefore, patients are at increased risk of developing urinary stones. [10,13] Open methods were previously considered to be unrivaled in the surgery of urinary system stones. However, they were associated with high cost and complication rates.…”