Less Invasive Treatments of Symptomatic Biriary Tract Stones After Gastrectomy

Hashimoto, Masaji; Mine, Shinji; Moriyama, Jin; Ehara, Kazuhisa; Matoba, Syuichiro; Yokoyama, Takanori; Ueno, Masaki; Matsuda, Masamichi; Kinoshita, Yoshihiro; Udagawa, Harushi; Sawada, Toshihito

doi:10.3919/jjsa.71.15

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Regarding the 27 patients with gallstones, 6 patients (22%) with symptoms of gallstones underwent laparoscopic cholecystectomy. However, Hashimoto et al [ 20 ] performed laparoscopic cholecystectomy in patients with gallstones after gastrectomy, and for 26% of the patients, conversion to laparotomy was performed because of adhesions. If the cholelithiasis falls into the common bile duct, it is crucial to perform ERCP.…”

Section: Discussionmentioning

confidence: 99%

Important risk factors for gallstones after laparoscopic gastrectomy: a retrospective study

et al. 2022

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Background The frequency of gallstones is higher in patients who have undergone gastrectomy than in the general population. While there have been some studies of gallstone formation after open gastrectomy, there are few reports of gallstones after laparoscopic gastrectomy (LG). Therefore, this study aimed to evaluate the incidence of gallstones after LG. Methods We retrospectively reviewed the records of 184 patients who underwent LG between January 2011 and May 2016 at Saiseikai Utsunomiya Hospital. After gastrectomy, abdominal ultrasonography was generally performed every 6 months for 5 years. Patients who underwent cholecystectomy before LG, underwent simultaneous cholecystectomy, and did not undergo abdominal ultrasonography, with an observation period of < 24 months, were excluded from the study. Finally, 90 patients were analyzed. Laparoscopic cholecystectomy was performed whenever biliary complications occurred. Patient characteristics were compared using the two-tailed Fisher’s exact test or Chi-square test. In addition, the risk factors for postoperative gallstones were analyzed using logistic regression analysis. Results Among the 90 patients included in this study, 60 were men (78%), and the mean age was 65.5 years. Laparoscopic total gastrectomy was performed for 15 patients and laparoscopic distal gastrectomy for 75 patients. D2 lymph node dissection was performed for 8 patients (9%), whereas 68 patients underwent LG with Roux-en-Y reconstruction (76%). Gallstones were detected after LG in 27 of the 90 (30%) patients. Multivariate analysis identified Roux-en-Y reconstruction and male sex as significant risk factors of gallstones after gastrectomy. The incidence of gallstones was significantly higher (53%) in male patients who underwent Roux-en-Y reconstruction. Symptomatic gallstones after laparoscopic cholecystectomy were found in 6 cases (6/27, 22%), and all patients underwent laparoscopic cholecystectomy. Conclusion Roux-en-Y reconstruction and male sex were identified as significant risk factors for gallstones after LG.

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Section: Discussionmentioning

confidence: 99%

Important risk factors for gallstones after laparoscopic gastrectomy: a retrospective study

et al. 2022

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“…Regarding the 27 cases of gallstones, six patients with symptoms of gallstones underwent laparoscopic cholecystectomy. However, Hashimoto et al [15] performed laparoscopic cholecystectomy in patients with gallstones after gastrectomy, and for 26% of the patients, conversion to laparotomy was performed because of adhesions. If the cholelith falls into the common bile duct, it is necessary to perform ERCP.…”

Section: Discussionmentioning

confidence: 99%

Important risk factors for gallstones after laparoscopic gastrectomy: A retrospective study

Fujita¹,

Kimata²,

Matsumoto³

et al. 2020

Preprint

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Background: The frequency of gallstones is higher in patients who have undergone gastrectomy than in the general population. While there have been some studies of gallstone formation after open gastrectomy, there are few reports of gallstones after LG. This study aimed to evaluate the incidence of gallstones after laparoscopic gastrectomy. Methods: We retrospectively reviewed the records of 184 patients who underwent laparoscopic gastrectomy between January 2011 and May 2016 at Saiseikai Utsunomiya Hospital. After gastrectomy, abdominal ultrasonography was generally performed every 6 months until 5 years later. Patients who underwent simultaneous cholecystectomy or with an observation period of < 24 months were excluded from the study. Ninety patients were ultimately analyzed. Laparoscopic cholecystectomy was performed whenever biliary complications occurred.Results: Gallstones were detected after laparoscopic gastrectomy in 27 of the 90 (30%) cases. Multivariate analysis identified Roux-en-Y reconstruction and male sex as significant risk factors for gallstones after gastrectomy. Symptomatic gallstones after laparoscopic cholecystectomy were found in 6 cases (6/27, 22%), and all patients underwent laparoscopic cholecystectomy.Conclusion: Roux-en-Y reconstruction was identified as a significant risk factor for gallstones after laparoscopic gastrectomy.

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Less Invasive Treatments of Symptomatic Biriary Tract Stones After Gastrectomy

Cited by 2 publications

References 8 publications

Important risk factors for gallstones after laparoscopic gastrectomy: a retrospective study

Important risk factors for gallstones after laparoscopic gastrectomy: a retrospective study

Important risk factors for gallstones after laparoscopic gastrectomy: A retrospective study

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