THE INCIDENCE OF CHOLELITHIASIS AFTER CORRECTIVE WEIGHT LOSS SURGERY

  • Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt.
  • Department of Surgery, Faculty of Medicine, Menoufia University, Egypt.
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Introduction: Morbid obesity is a worldwide health problem; cholelithiasis considered the third most common disease between obese patients. Of 30 – 40 % of patients undergone corrective weight loss surgery developed cholelithiasis shortly after the surgery. Aim of the study: to detect the relation and incidence of cholelithiasis those necessitate cholecystectomy after corrective weight loss surgery (sleeve gastrectomy and roux en Y gastric bypass) during a one year follow up and the necessary of prior cholecystectomy for those patients. Patients and methods: Morbid obesity patients underwent corrective weight loss surgery (sleeve gastrectomy and roux en Y gastric bypass) in the period from June 2014 till June 2016, patients with unremarkable study at abdominal ultrasound before the surgery and patient with one year follow up after the surgery included in the study. Two comparative groups of patients were done: group A who underwent laparoscopic sleeve gastrectomy and group B who had laparoscopic roux en Y gastric bypass. The primary outcome measure was gallstones or mud formation with or without complications. Results: 204 patients were included in the study, 163 patients had sleeve gastrectomy (group A) and 41 patients had bypass (group B), the mean age was 35.4 years for group A and 114 (69.9 %) of the patients were women, and it was 40.6 years for group B and 28 (68.2%) of patients were women, Gallstones requiring cholecystectomy after corrective weight loss surgery detected in 18 (11%) of 163 patients had sleeve gastrectomy and 4 (9.7 %) of 41 patients had roux en Y gastric bypass, group A patients developed gallstone after 8 months median time, while for group B it was 7 months. No significant difference found between the two groups of patients regarding the symptomatic gall bladder disease. Conclusions: the incidence of cholelithiasis after corrective weight loss surgery was not so high for these patients and it is not recommended to do prophylactic cholecystectomy.

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[Ahmed Hamouda Arnaout and Mahmoud Abdel Latif Bahram. (2017); THE INCIDENCE OF CHOLELITHIASIS AFTER CORRECTIVE WEIGHT LOSS SURGERY Int. J. of Adv. Res. 5 (Jan). 2357-2361] (ISSN 2320-5407). www.journalijar.com

Ahmed Hamouda Ali Arnaout
Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt.

DOI:

Article DOI: 10.21474/IJAR01/3019      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3019

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