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Routine cholecystectomy is not mandatory during morbid obesity surgery

Ellner, Scott J., Myers, Tamara T., Piorkowski, James R., Mavanur, Arun A., Barba, Carlos A.·2007·Surgery for Obesity and Related Diseases
DOI 10.1016/j.soard.2006.11.008
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Abstract

Background Controversy exists concerning the utility of routine cholecystectomy during bariatric surgery. We report our series of bariatric surgical procedures at our institution without concurrent cholecystectomy. Methods From October 2003 to August 2005, 621 morbidly obese patients underwent a weight loss operation. Preoperatively, each patient had undergone abdominal ultrasound (AUS) to evaluate for abnormal gallbladder findings. Patients with previous cholecystectomy were excluded. Symptomatic patients with AUS findings consistent with gallbladder disease underwent concomitant cholecystectomy and bariatric surgery. Asymptomatic patients, despite AUS findings, did not undergo cholecystectomy with their bariatric operation. A comparison between the preoperative AUS-positive and AUS-negative, asymptomatic patients after bariatric surgery was performed. Results Of the 621 patients who underwent bariatric surgery, 170 (27%) had undergone previous cholecystectomy and were excluded. Of the remaining 451 patients, 17 with positive AUS findings and symptoms underwent cholecystectomy during bariatric surgery. The range of follow-up was 4-25 months. Of the 451 patients, 324 were asymptomatic and had negative AUS findings and 102 were asymptomatic and had positive AUS findings for gallbladder abnormalities. Postoperatively, 29 asymptomatic/AUS-negative patients (9%) developed symptoms and had positive AUS findings. Nine asymptomatic patients with AUS positive findings (9%) developed…

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Research works printed but not linked: 21

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Metadata

Authors
Ellner, S. J., Myers, T. T., Piorkowski, J. R., Mavanur, A. A., & Barba, C. A.
Venue
Surgery for Obesity and Related Diseases
Publisher
Elsevier BV
Published
2007-07
Volume
3
Issue
4
Pages
456-460
ISSN
1550-7289
DOI
10.1016/j.soard.2006.11.008
Cited by
34
References
0
Language
en
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