Incidence and risk factors for de novo cholelithiasis after bariatric surgery

Andrés-Imaz, Ainhoa; Martí-Gelonch, Laura; Eizaguirre-Letamendia, Emma; Asensio-Gallego, José Ignacio; Enríquez-Navascués, José María

doi:10.1016/j.cireng.2021.09.010

Cited by 5 publications

(7 citation statements)

References 21 publications

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“…High BMI was defined as exposure, and low BMI was defined as nonexposure. A total of 6 articles [ 17 – 21 , 23 ] were included in the meta-analysis. There was no heterogeneity among the studies (I 2 = 0%, P = 0.88), so a fixed-effect model was used for pooling.…”

Section: Resultsmentioning

confidence: 99%

“…For other factors that measure the proportion of weight loss, we conducted a systematic review of the literature. Andres-Imaz [ 17 ] indicated that %EWL was a risk factor [OR = 1.03, 95% CI (1.01, 1.05)], and the study by Guzmán [ 19 ] suggested that %EBMIL was not a risk factor [OR = 0.99, 95% CI (0.97, 1.00)], but this was based on a single-center cohort study. In addition, multiple studies by Aldriweesh, Faisal et al [ 6 , 16 , 18 , 22 , 24 ] showed that there was no statistically significant difference in the %TWL data of patients with postoperative cholelithiasis and those without postoperative cholelithiasis.…”

Section: Discussionmentioning

confidence: 99%

“…Coupaye and Tsirline [ 18 , 30 ] found no statistically significant difference in %EWL between postoperative cholelithiasis and no postoperative cholelithiasis within six months. Andreas Andreas [ 17 ] also found no statistically significant difference in %EWL at up to ten years of follow-up. A randomized controlled trial conducted by Ahmed Talha [ 47 ] showed that higher %EWL in short-term follow-up was the cause of postoperative cholelithiasis.…”

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Dai

Luo

2023

Lipids Health Dis

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Background Obesity has been identified as an independent risk factor for cholelithiasis. As a treatment for obesity, bariatric surgery may increase the incidence of cholelithiasis. The risk factors for cholelithiasis after bariatric surgery remain uncertain. The purpose of this study was to explore the risk factors for postoperative cholelithiasis after weight-loss surgery and propose suggestions for clinical decision making. Methods Four databases, PubMed, EMBASE, Web of Science and Cochrane, were systematically searched for all reports about cholelithiasis after bariatric surgery, and literature screening was performed following prespecified inclusion criteria. The included studies were all evaluated for quality according to the NOS scale. Data extraction was followed by analysis using Reviewer Manager 5.4 and StataSE 15. Results A total of 19 articles were included in this meta-analysis, and all studies were of high quality. A total of 20,553 patients were included in this study. Sex [OR = 0.62, 95% CI (0.55, 0.71), P < 0.00001] and race [OR = 1.62, 95% CI (1.19, 2.19), P = 0.002] were risk factors for cholelithiasis after bariatric surgery. Surgical procedure, preoperative BMI, weight-loss ratio, smoking, hypertension, diabetes mellitus, and dyslipidemia were neither protective nor risk factors for cholelithiasis after bariatric surgery. Conclusion Caucasian race and female sex are risk factors for developing cholelithiasis after bariatric surgery; surgical procedure, BMI, weight loss ratio, hypertension, diabetes mellitus, dyslipidemia, and smoking are not risk factors for cholelithiasis after bariatric surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Dai

Luo

2023

Lipids Health Dis

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“…For example, while internal hernias or small bowel anastomotic leaks would be of concern in a patient who underwent an RYGB, those should not even be in the differential for the patient who underwent one of the purely restrictive operations such as the SG. The other critical point in the workup of this patient population is that postbariatric surgery patients have the same risk of common abdominal surgical issues like appendicitis or diverticulitis and, in fact, have an increased risk of acute biliary disease 21,22 . The differential and initial evaluation should include these considerations and not focus purely on the assumption that the presenting complaint is directly related to the bariatric surgical procedure.…”

Section: Overview and Surgically Relevant Anatomymentioning

confidence: 99%

“…The other critical point in the workup of this patient population is that postbariatric surgery patients have the same risk of common abdominal surgical issues like appendicitis or diverticulitis and, in fact, have an increased risk of acute biliary disease. 21,22 The differential and initial evaluation should include these considerations and not focus purely on the assumption that the presenting complaint is directly related to the bariatric surgical procedure.…”

Section: Overview and Surgically Relevant Anatomymentioning

confidence: 99%

Common postbariatric surgery emergencies for the acute care surgeon: What you need to know

Cheng,

Samakar,

Dobrowolsky

et al. 2023

J Trauma Acute Care Surg

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The field of bariatric and metabolic surgery has changed rapidly over the past two decades, with an exponential increase in case volumes being performed because of its proven efficacy for morbid obesity and obesity-related comorbidities. Although this increased volume of procedures has been accompanied by significant decrease in postoperative complication rates, there are numerous potential complications after bariatric surgery that may require urgent or emergent surgical evaluation or interventions. Many of these risks extend well beyond the early postoperative period and can present months to years after the index procedure. Acute care surgeons are increasingly covering most or all of the emergency general surgery services at many centers and must be familiar with the numerous bariatric surgical procedures being performed and their individual complication profile to provide optimal care for these frequently challenging patients. This article provides a focused and concise review of the common bariatric procedures being performed, their early and late complication profiles, and a practical guide to the optimal diagnostic evaluations, surgical interventions, and perioperative management options. The author group includes both acute care surgeons and bariatric surgeons with significant experience in the emergency management of the complicated postbariatric surgical patient. LEVEL OF EVIDENCE Literature Synthesis and Expert Opinion; Level V.

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Ursodiol Prescriptions Following Bariatric Surgery: National Prescribing Trends and Outcomes

et al. 2023

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Incidence and risk factors for de novo cholelithiasis after bariatric surgery

Cited by 5 publications

References 21 publications

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Common postbariatric surgery emergencies for the acute care surgeon: What you need to know

Ursodiol Prescriptions Following Bariatric Surgery: National Prescribing Trends and Outcomes

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