Is Concomitant Cholecystectomy Necessary for Asymptomatic Cholelithiasis During Laparoscopic Sleeve Gastrectomy?

Yardimci, Samet; Coşkun, Mümin; Demircioğlu, Salih; Erdim, Aylin; Cingi, Asım

doi:10.1007/s11695-017-2867-3

Cited by 35 publications

(23 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a lack of consensus remains on this topic. A recent study found that the risk of developing cholelithiasis after LSG in asymptomatic patients is close to the healthy population, recommending observation only in such cases (33). Another method for preventing cholelithiasis is by prescribing ursodeoxycholic acid as prophylaxis for the first 6 months post-operatively, yet there is insufficient evidence to support its efficacy.…”

Section: Discussionmentioning

confidence: 99%

The Incidence and Risk Factors of Cholelithiasis Development After Bariatric Surgery in Saudi Arabia: A Two-Center Retrospective Cohort Study

et al. 2020

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

The Incidence and Risk Factors of Cholelithiasis Development After Bariatric Surgery in Saudi Arabia: A Two-Center Retrospective Cohort Study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Rapid weight loss after bariatric surgery is regarded as responsible for the formation of cholelithiasis. [13] The incidence of symptomatic gallstones requiring cholecystectomy after laparoscopic sleeve gastrectomy (LSG) was reported as 0.9-7.5% in the literature. [13] In follow-ups of the 1268 cases operated in this study, symptomatic cholelithiasis was detected in 6 cases (0.47%).…”

Section: Discussionmentioning

confidence: 99%

Indications of Reoperation After Sleeve Gastrectomy

Dogan¹

2019

Laparosc Endosc Surg Sci

View full text Add to dashboard Cite

Introduction: Morbid obesity is a serious health condition. Surgical interventions play an essential role in treatment, and sleeve gastrectomy is one of the most widely performed bariatric surgical procedures. After bariatric surgery, some patients may require reoperation for several reasons, such as complications, cholelithiasis, and gastroesophageal reflux. This study is an examination of the indications for reoperation and the results observed in patients who underwent reoperation following sleeve gastrectomy. Materials and Methods: Patients who were reoperated on after sleeve gastrectomy for various reasons were analyzed retrospectively. The demographic characteristics, reoperation indications, surgical procedures, and results were analyzed. Results: Of a total of 1268 patients who underwent sleeve gastrectomy due to obesity, 15 who had a reoperation after laparoscopic sleeve gastrectomy were included in the study. The overall reoperation rate after sleeve gastrectomy was 1.18%. Cholelithiasis leak, hemorrhage, stenosis, intra-abdominal hematoma, and incisional hernia were identified as indications for reoperation. Conclusion: Reoperation for the patients who undergo bariatric surgery may be required for a number of reasons. The results of this study indicate that a second procedure after sleeve gastrectomy can be performed safely and with minimal risk.

show abstract

“…e follow-up period is longer in Yardimci et al's study so that they could observe that 20.8% of the patients with asymptomatic GS became symptomatic in the 27-month follow-up period. ey believed that the ratio of LC requirement may be higher as the follow-up time lengthens [4]. Some surgeons reported that complications increased during LSG resulting from adding LC: Dakour-Aridi et al studied 21,137 patients who underwent LSG and were reported in NSQIP, of whom 2.0% underwent concomitant LC.…”

Section: Scott Et Al Reported That An Advantage Of Delayed Lc Ismentioning

confidence: 99%

“…On the other hand, adding concomitant LC to a BS poses certain risks due to the increased morbidity for patients with obesity, and it may be technically challenging due to excess intra-abdominal fat and difference in ports' placement for BS and LC with difficulties establishing and maintaining pneumoperitoneum, the higher incidence for conversion to open surgery and bile duct injuries [2,3]. e time interval allows LC to be performed more safely due to loss of intra-abdominal fat and the possible late complications of BS; for example, port site hernia can be operated on simultaneously [4]. erefore, the surgeon has to weigh the potential added risk of concomitant LC with the potential morbidity of delayed complications from GS [5].…”

Section: Introductionmentioning

confidence: 99%

Concomitant versus Delayed Cholecystectomy in Bariatric Surgery

et al. 2021

View full text Add to dashboard Cite

Background. Obesity and weight loss after bariatric surgery have a close association with gallbladder disease. The performance and proper timing of laparoscopic cholecystectomy (LC) with bariatric surgery remain a clinical question. Objective. Evaluation of the outcome of LC during bariatric surgery whether done concomitantly or delayed according to the level of intraoperative difficulty. Methods. The prospective study included patients with morbid obesity between December 2018 and December 2019 with preoperatively detected gallbladder stones. According to the level of difficulty, patients were allocated into 2 groups: group 1 included patients who underwent concomitant LC during bariatric surgery, and group 2 included patients who underwent delayed LC after 2 months. In group 1, patients were further divided into subgroups: LC either at the beginning (subgroup A) or after bariatric surgery (subgroup B). Results. Operative time in group 1 vs. 2 was 92.63 ± 28.25 vs. 68.33 ± 17.49 ( p < 0.001 ), and in subgroup A vs. B, it was 84.19 ± 19.62 vs. 130.0 ± 31.62 ( p < 0.001 ). One patient in each group (2.6% and 8.3%) had obstructive jaundice, p > 0.001 . In group 2, 33% of asymptomatic patients became symptomatic for biliary colic p > 0.001 . LC difficulty score was 2.11 ± 0.70 vs. 5.66 ± 0.98 in groups 1 and 2, respectively, p < 0.001 . LC difficulty score decreased in group 2 from 5.66 ± 0.98 to 2.26 ± 0.78 after 2 months of bariatric surgery, p < 0.001 . Conclusion. Timing for LC during bariatric surgery is challenging and should be optimized for each patient as scheduling difficult LC to be performed after 2 months may be an option.

show abstract

Is Concomitant Cholecystectomy Necessary for Asymptomatic Cholelithiasis During Laparoscopic Sleeve Gastrectomy?

Cited by 35 publications

References 25 publications

The Incidence and Risk Factors of Cholelithiasis Development After Bariatric Surgery in Saudi Arabia: A Two-Center Retrospective Cohort Study

The Incidence and Risk Factors of Cholelithiasis Development After Bariatric Surgery in Saudi Arabia: A Two-Center Retrospective Cohort Study

Indications of Reoperation After Sleeve Gastrectomy

Concomitant versus Delayed Cholecystectomy in Bariatric Surgery

Contact Info

Product

Resources

About