Cited by 53

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Potential Benefits of Prophylactic Cholecystectomy in Patients Undergoing Bariatric Bypass Surgery

Amstutz, Sébastien, Michel, Jean-Marie, Kopp, Sébastien, Egger, Bernhard·2015·Obesity Surgery

Abstract

Background In patients with morbid obesity, laparoscopic Roux-en-Y gastric bypass (LRYGB) is the treatment of choice. Patients with gallstones routinely undergo cholecystectomy at the same time as LRYGB. Although the risk of developing gallstones afterwards is high, prophylactic cholecystectomy during LRYGB remains controversial. Therefore, we conducted a retrospective study to evaluate the risk associated with prophylactic cholecystectomy and risk factors for developing gallstones after LRYGB. Methods Data for patients on whom we consecutively performed LRYGB in 2003-2008 were extracted from the prospective bariatric database. The primary endpoint of the study was detection of newly developed gallstones by ultrasonography, and the secondary endpoint was evaluation of the incidence of post-LRYGB cholecystectomy (questionnaire). Results Of 117 patients who underwent LRYGB, 20 (17 %) had a previous and 26 (22 %) had a concomitant cholecystectomy. Of the 71 LRYGB patients remaining who had not had their gallbladders removed, 22 (34 %) developed gallstones, with 11 (17 %) requiring emergency cholecystectomy before the study began. Seven (10 %) patients were lost to follow-up, and 53 (75 %) underwent abdominal ultrasound during follow-up, which detected stones in another 11 (17 %) patients up to end of the study period. Conclusions Nearly 50 % of our patients had either experienced gallstones before LRYGB or developed gallstones after LRYGB. In the group with new gallstone develop…

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Crossref · 10.1007/s11695-015-1650-6

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Research works printed but not linked: 31

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Metadata

Authors
Amstutz, S., Michel, J.-M., Kopp, S., & Egger, B.
Venue
Obesity Surgery
Published
2015-03-25
Volume
25
Issue
11
Pages
2054-2060
ISSN
  • 0960-8923
  • 1708-0428
Cited by
53
References
2
Language
en

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