Complicated Gallstones after Laparoscopic Sleeve Gastrectomy
Joint Authors
Sioka, Eleni
Zacharoulis, Dimitris
Zachari, Eleni
Papamargaritis, Dimitris
Pinaka, Ourania
Katsogridaki, Georgia
Tzovaras, George
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
The natural history of gallstone formation after laparoscopic sleeve gastrectomy (LSG), the incidence of symptomatic gallstones, and timing of cholecystectomy are not well established.
Methods.
A retrospective review of prospectively collected database of 150 patients that underwent LSG was reviewed.
Results.
Preoperatively, gallbladder disease was identified in 32 of the patients (23.2%).
Postoperatively, eight of 138 patients (5.8%) became symptomatic.
Namely, three of 23 patients (13%) who had evident cholelithiasis preoperatively developed complicated cholelithiasis.
From the cohort of patients without preoperative cholelithiasis, five of 106 patients (4.7%) experienced complicated gallstones after LSG.
Total cumulative incidence of complicated gallstones was 4.7% (95% CI: 1.3–8.1%).
The gallbladder disease-free survival rate was 92.2% at 2 years.
No patient underwent cholecystectomy earlier than 9 months or later than 23 months indicating the post-LSG effect.
Conclusion.
A significant proportion of bariatric patients compared to the general population became symptomatic and soon developed complications after LSG, thus early cholecystectomy is warranted.
Routine concomitant cholecystectomy could be considered because the proportion of patients who developed complications especially those with potentially significant morbidities is high and the time to develop complications is short and because of the real technical difficulties during subsequent cholecystectomy.
American Psychological Association (APA)
Sioka, Eleni& Zacharoulis, Dimitris& Zachari, Eleni& Papamargaritis, Dimitris& Pinaka, Ourania& Katsogridaki, Georgia…[et al.]. 2014. Complicated Gallstones after Laparoscopic Sleeve Gastrectomy. Journal of Obesity،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1042355
Modern Language Association (MLA)
Sioka, Eleni…[et al.]. Complicated Gallstones after Laparoscopic Sleeve Gastrectomy. Journal of Obesity No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1042355
American Medical Association (AMA)
Sioka, Eleni& Zacharoulis, Dimitris& Zachari, Eleni& Papamargaritis, Dimitris& Pinaka, Ourania& Katsogridaki, Georgia…[et al.]. Complicated Gallstones after Laparoscopic Sleeve Gastrectomy. Journal of Obesity. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1042355
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042355