The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Predictors of gallstone formation after bariatric surgery: a multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy
Abstract
Background Risk factors for gallstone formation in the general population have been well studied while those after weight reduction surgery are unknown. The aim of this study was to identify the risk factors for the development of symptomatic gallstones after bariatric surgery. Method Retrospective review was performed for patients who underwent laparoscopic Roux-en-Y gastric bypass (RYGBP), adjustable gastric banding (LAGB) or sleeve gastrectomy (LSG) between 2004 and 2006. Statistical evaluation was performed using a univariate and multivariate analysis. Risk factors, including age, gender, preoperative body mass index (BMI), BMI > 45 kg/m(2), diabetes mellitus, hyperlipidemia, types of operation, and weight loss >25% of original weight, were analyzed for their association with postoperative symptomatic gallstones formation. Results 670 laparoscopic RYGBP, 47 LAGB, and 79 LSG were performed in our institute. Preoperative gallbladder disease, as indicated by presence of gallstones or sludge on preoperative transabdominal ultrasound, or previous cholecystectomy, were found in 25.3, 14.9, and 30.4% of patients who subsequently had RYGBP, LAGB, and LSG, respectively. A total of 586 patients were included for analysis. Mean follow-up was 25.9 (range 12-42) months. Overall rate of symptomatic gallstone formation was 7.8% and mean time for its development was 10.2 (range 2-37) months. Incidence of symptomatic gallstones with complications as initial presentation was found in 1.9%…
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The increased risks of gallstones with bariatric surgery and very low-calorie diets are approximately 30% and 25%, respectively.
“The increased risks of gallstones have been illustrated with 2 popular weight reduction methods, i.e., bariatric surgery and very low-calorie diets [26][27][28]51], with approximate risks of 30 and 25%, respectively [26,28].”
From Excess Body Weight and Gallstone Disease (2021) · cites this paper as [26]
In general, weight loss reduces the risk of gallstones, except in extremely rapid weight loss (>1.5 kg/week) and excessive weight reduction (>25% body weight).
“In general, weight loss reduces the risk of gallstones, with the exception of 2 specific settings: weight loss that is extremely rapid (i.e., >1.5 kg/week) and excessive weight reduction (i.e., >25% body weight) [25][26][27].”
From Excess Body Weight and Gallstone Disease (2021) · cites this paper as [26]
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Cites
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Sorted by citations
Li, J., Lai, D., & Wu, D. (2016) · Obesity Surgery · doi:10.1007/s11695-015-1996-9 · Cited by 190
Stokes, C. S., Gluud, L. L., Casper, M., & Lammert, F. (2014) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2013.11.031 · Cited by 118
Manatsathit, W., Leelasinjaroen, P., Al-Hamid, H., Szpunar, S., & Hawasli, A. (2016) · International Journal of Surgery · doi:10.1016/j.ijsu.2016.03.060 · Cited by 78
Excess Body Weight and Gallstone Disease
Stokes, C. S., & Lammert, F. (2021) · Visceral Medicine · doi:10.1159/000516418 · Cited by 58
Dai, Y., Luo, B., & Li, W. (2023) · Lipids in Health and Disease · doi:10.1186/s12944-023-01774-7 · Cited by 35
Metadata
- Authors
- Li, V. K. M., Pulido, N., Fajnwaks, P., Szomstein, S., & Rosenthal, R.
- Venue
- Surgical Endoscopy
- Published
- 2008-12-05
- Volume
- 23
- Issue
- 7
- Pages
- 1640-1644
- ISSN
- 0930-2794
- 1432-2218
- Cited by
- 181
- References
- 1
- Language
- en
- Licence
- www.springer.com/tdm (tdm)
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