Incidence of cholelithiasis after laparoscopic sleeve gastrectomy: Incidence of cholelithiasis after laparoscopic sleeve gastrectomy

Iea Alabbasi, Board candidate in general surgery, Al-Sader Teaching Hospital, Basrah, Iraq.Follow
Issam Merdan, F.I.B.M.S.; C.A.B.S., Professor of Surgery, Department of Surgery, Collage of Medicine, University of Basrah, Iraq.Follow
Falih Al-Gazgooz, F.I.B.M.S.;C.A.B.S.; F.A.C.S.; M.R.C.S., Consultant of general and laparoendospic surgery, Al-Sader Teaching Hospital, Basrah, Iraq.Follow

Article Type

Original Study

Abstract

Background:_x000D_ Laparoscopic sleeve gastrectomy is a well-known method for weight reduction. Post-operative weight loss is a major risk factor for gallstone formation.Objective:_x000D_ To determine whether prophylactic concomitant laparoscopic cholecystectomy should be performed on all patients at the time of laparoscopic sleeve gastrostomy or not.Patients and Methods:_x000D_ A retrospective and prospective study on 540 patients with morbid obesity who underwent laparoscopic sleeve gastrectomy; their BMI range was between 38 and 53, their age range was 18 to 63 years, and 335 of them were females. The exclusion criteria were patients with a history of cholecystectomy, gallstone patients or gallbladder polyps more than 1 cm in preoperative abdominal ultrasound, and those who failed to follow-up. All patients were followed up with every 6–12 months, including those who had cholecystectomy by other surgeons.Results:_x000D_ During the study period, from the total 540 patients who had laparoscopic sleeve gastrectomy, 167 patients (30.92%) had cholecystectomy, out of which 20 patients (3.7%) had achieved 45% weight reduction during the first six months; while in another 6 months, 147 patients (27.22%) had cholecystectomy, achieving additional 30% weight reduction.Conclusions: The incidence of gallstones after laparoscopic sleeve gastrostomy is about 30.92%, indicating that 69.08% will not have gallstones in the postoperative follow-up period, so it would be unwise to do prophylactic concomitant cholecystectomy for all patients.Keywords: Bariatric procedures, cholecystectomy, incidence

Keywords

Bariatric procedures, bariatric surgery, cholecystectomy, labcholy, incidence, basrah

Recommended Citation

Alabbasi, Iea; Merdan, Issam; and Al-Gazgooz, Falih (2021) "Incidence of cholelithiasis after laparoscopic sleeve gastrectomy: Incidence of cholelithiasis after laparoscopic sleeve gastrectomy," Iraqi National Journal of Medicine: Vol. 2 : Iss. 2 , Article 1.
Available at: https://doi.org/10.37319/iqnjm.2.2.1