Incidencia y factores de riesgo para el desarrollo de colelitiasis tras cirugía bariátrica

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

doi:10.1016/j.ciresp.2020.10.021

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…; In relation to the comparison of fasting glucose and triglycerides, we found slightly higher averages in the PT group without reaching statistical significance, as regards the cholesterol level, it was slightly higher in the PA group and resulting in a non-pathological average. Regarding the body mass index, we found similar levels that did not reach statistical relevance, but highlighting that they are pathological and classify the two groups as overweight in both PT populations (27.72 ± 9.14) and PA (26.99 ± 9.44), reinforcing the hypothesis of this as a risk factor since its causal relationship is demonstrated in the PT group and is similar in the PA group [19][20][21][22][23]. It would be important to make a comparison of this variable with respect to a healthy population of the same age in order to determine the true impact they have on the development of cholecystitis.…”

Section: Discussionmentioning

confidence: 56%

"Prevalence and Risk Factors Associated with Cholecystitis in Patients from the Eastern Zone of the State of Mexico"

Díaz-Hernández

2023

BJSTR

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The cholecystitis characterized by being an inflammatory process, related to the presence of stones, in the gallbladder hepatic cholestasis and chronic gallbladder infection. Prevalence may vary, but most of the patients are over 40 years old, at the time of diagnosis. However, within the eastern zone of the Estado de Mexico, reports indicate several cases in adolescents, mainly pregnant women. Therefore in this study, the evaluation of said prevalence was carried out in adolescents, as well as its risk factors. A crosssectional analytical observational study was conducted, and a data analysis as carried out to show the risk factors, within the study there are patients diagnosed with cholecystitis from august 2015 to august 2018; 1069 patients were included and divided into two groups PT, (over 30 years old) and PA (under 30 years old), of the 5 factors proposed, an analysis was carried out. The pregnancies number was 1.69±1.27 for the group PA and 2.42±1.57 for the group. PT. In the group PA 84 patients (56.37) %, used some type of hormonal contraceptive, and 94 patients (70.97%), reported any history of gallstones in a first-degree relative. The prevalence of cholecystitis in patients under 30 years old in the Hospital Regional de Alta Especialidad de Ixtapaluca, it´s 21.42% according those reported, this value shows a high prevalence in this population; overweight and obesity in addition to teenage pregnancies, may have a strong relationship with the development of gallstones lithiasis. Family history and contraceptive use in the development of cholecystitis representative possibly a more relevant risk factor in our young population.

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Section: Discussionmentioning

confidence: 56%

"Prevalence and Risk Factors Associated with Cholecystitis in Patients from the Eastern Zone of the State of Mexico"

Díaz-Hernández

2023

BJSTR

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“…O estado de hipercolesterolemia permite excreção de colesterol na bile em quantidades excessivas que saturam o líquido biliar, que somado a diminuição da resposta contrátil do musculo liso da vesícula biliar e consequente estase biliar, favorece a precipitação de cristais e formação dos cálculos. Estima-se que 25% a 45% da população obesa apresenta colelitíase, com incidência anual de 2% nos obesos mórbidos (Andrés-Imaz, et. al., 2021).…”

Section: Resultados E Discussõesunclassified

“…Juntamente com a obesidade, a rápida perda de peso após a realização de cirurgia bariátrica, ou até mesmo a rápida perda de peso por meios não cirúrgicos, somam riscos à formação de cálculos biliares. Isso ocorre devido a maior excreção e mobilização de colesterol promovida pela lise do tecido adiposo, responsável pela formação de uma bile litogênica (Andrés-Imaz, et. al., 2021).…”

Section: Resultados E Discussõesunclassified

Fatores de risco para colelitíase após cirurgia bariátrica: uma revisão narrativa

Ribeiro,

Maass,

Maldaner

et al. 2024

CLCS

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O presente estudo tem por objetivo descrever a relação entre a realização de cirurgia bariátrica e a ocorrência de colelitíase, além dos fatores de risco envolvidos. Trata-se de uma revisão narrativa da literatura, utilizando dados de trabalhos indexados nas bases de dados MEDLINE, IBECS e SCIELO, nos idiomas português, inglês e espanhol, publicados nos últimos 10 anos. A obesidade é uma condição médica caracterizada pelo acúmulo de gordura corporal, trazendo perda da qualidade de vida e servindo de fator de risco para o desenvolvimento de muitas outras doenças. A cirurgia bariátrica é uma opção de tratamento para obesos mórbidos, permitindo rápida perda de peso e, na maioria dos casos, resolução completa das comorbidades. Entretanto, diversas complicações podem cursar no pós-operatório da cirurgia bariátrica, sobretudo a colelitíase e necessidade de colecistectomia, sendo o by-pass gástrico em Y de Roux, sexo feminino, gestação e rápida perda de peso, alguns dos fatores que contribuem para o processo. Felizmente, medidas profiláticas estão disponíveis e reduzem as incidências de colelitíase no período pós-operatório, como a realização de colecistectomia simultânea a cirurgia bariátrica e o uso de ácido ursodesoxicólico, porém, a conduta de escolha deve ser individualizada. Assim, a realização de mais estudos é necessária para concretizar ações visando redução de tal desfecho.

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Cholecystectomy and bariatric surgery in asymptomatic patients with cholelithiasis?

Tomás

2022

Cirugía Española (English Edition)

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Incidencia y factores de riesgo para el desarrollo de colelitiasis tras cirugía bariátrica

Cited by 6 publications

References 21 publications

"Prevalence and Risk Factors Associated with Cholecystitis in Patients from the Eastern Zone of the State of Mexico"

"Prevalence and Risk Factors Associated with Cholecystitis in Patients from the Eastern Zone of the State of Mexico"

Fatores de risco para colelitíase após cirurgia bariátrica: uma revisão narrativa

Cholecystectomy and bariatric surgery in asymptomatic patients with cholelithiasis?

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