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Incidence of Symptomatic Cholelithiasis Following Laparoscopic Roux-en-Y Gastric Bypass Is Comparable to Laparoscopic Sleeve Gastrectomy: A Cohort Study

Golzarand, Mahdieh, Toolabi, Karamollah, Parsaei, Reza, Eskandari Delfan, Sina·2022·Digestive Diseases and Sciences
DOI 10.1007/s10620-021-07306-6
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Abstract

Background A few comparative studies have assessed the incidence of symptomatic cholelithiasis after laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). However, they have shown inconsistent results. The present study has been designed based on comparing LSG and LRYGB regarding the incidence of symptomatic cholelithiasis and determining factors related to symptomatic cholelithiasis development after these procedures. Methods This retrospective cohort study was conducted on 1163 patients aged ≥ 18 years old who underwent LRYGB (n = 377) or LSG (n = 786) from July 2006 to November 2019. The participants had no previous history of gallstones. A Cox-proportional hazard regression was used to assess associations between the types of procedures and the risk of symptomatic cholelithiasis. The univariable and then multivariable analysis were used to reveal the predictors of symptomatic cholelithiasis. Results The mean person-time follow-up was 34 months (95% CI: 32.2 to 36.1 months). The incidence of symptomatic cholelithiasis was 8.3% over the follow-up period. There was no significant association between the risk of symptomatic cholelithiasis development and the type of surgical procedure (HR: 1.35, 95% CI: 0.75 to 2.41). Females had a 2.3-fold higher risk of symptomatic cholelithiasis than males, according to the multivariable Cox regression (HR: 2.31, 95% CI: 1.23 to 4.33). In addition, there was an inverse association between the administrati…

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Metadata

Authors
Golzarand, M., Toolabi, K., Parsaei, R., & Eskandari Delfan, S.
Venue
Digestive Diseases and Sciences
Publisher
Springer Science and Business Media LLC
Published
2021-11-16
Volume
67
Issue
8
Pages
4188-4194
ISSN
  • 0163-2116
  • 1573-2568
DOI
10.1007/s10620-021-07306-6
Cited by
8
References
4
Language
en
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