CoChat
Sign Up
Cited by 98

The DOI matches its Crossref record.

How frequently and when do patients undergo cholecystectomy after bariatric surgery?

Tsirline, Victor B., Keilani, Zeid M., El Djouzi, Sofiane, Phillips, Ryan C., Kuwada, Timothy S., Gersin, Keith, Simms, Connie, Stefanidis, Dimitrios·2014·Surgery for Obesity and Related Diseases
DOI 10.1016/j.soard.2013.10.011
Open this paper in CoChat — free account

Abstract

Background Rapid weight loss after bariatric surgery is associated with gallstone formation, and cholecystectomy is required in up to 15% of patients. Prophylactic cholecystectomy or prophylactic ursodiol administration in the postoperative period have been suggested to address this problem. The objectives of this study were to investigate the frequency and timing of cholecystectomies after bariatric surgery and to determine the associated risk factors in patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic adjustable gastric band (LAGB), or laparoscopic sleeve gastrectomy (LSG). Methods Data prospectively collected in an institutional database were analyzed. Differences among the 3 procedures and the effects of ursodiol administration, patient demographic characteristics, postoperative weight loss, and individual surgeon practices on cholecystectomy rates were examined. Survival analysis and proportional hazard models were used. Results Of 1398 patients, 109 (7.8%) underwent cholecystectomy with a median follow-up of 49 (range 12-103) months. Cholecystectomy frequency was 10.6% after LRYGB, significantly higher than 2.9% after LAGB (P 25% within the first 3 months was the strongest predictor of postoperative cholecystectomy (P Conclusion Bariatric surgery is associated with a low frequency of postoperative cholecystectomy, which is highest early after surgery and mainly determined by the amount of EWL within the first 3 months. The results of th…

Overview

Integrity signals

Registry

Crossref · 10.1016/j.soard.2013.10.011

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Morbidity and mortality for cholecystectomy in obese patients not undergoing bariatric surgery do not appear to be higher than those of the general population.

    “Generally, the morbidity and mortality for cholecystectomy in obese patients not undergoing bariatric surgery do not appear to be higher than those of the general population [44].”

    From Excess Body Weight and Gallstone Disease (2021) · cites this paper as [44]

Citations

Cites

No references could be resolved yet.

Research works printed but not linked: 36

  1. Amaral, 1985, Gallbladder disease in the morbidly obese, Am J Surg, 149, 551, 10.1016/S0002-9610(85)80055-6 · DOI · Paper page
  2. Shiffman, 1993, Gallstones in patients with morbid obesity. Relationship to body weight, weight loss and gallbladder bile cholesterol solubility, Int J Obes Relat Metab Disord, 17, 153
  3. Shiffman, 1991, Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity, Am J Gastroenterol, 86, 1000
  4. Tucker, 2008, Is concomitant cholecystectomy necessary in obese patients undergoing laparoscopic gastric bypass surgery?, Surg Endosc, 22, 2450, 10.1007/s00464-008-9769-3 · DOI
  5. Iglézias Brandão de Oliveira, 2003, Impact of rapid weight reduction on risk of cholelithiasis after bariatric surgery, Obes Surg, 13, 625, 10.1381/096089203322190862 · DOI
  6. Shiffman, 1993, Gallbladder mucin, arachidonic acid, and bile lipids in patients who develop gallstones during weight reduction, Gastroenterology, 105, 1200, 10.1016/0016-5085(93)90968-I · DOI · Paper page
  7. Shiffman, 1992, Calcium in human gallbladder bile, J Lab Clin Med, 120, 875
  8. Shiffman, 1992, Changes in gallbladder bile composition following gallstone formation and weight reduction, Gastroenterology, 103, 214, 10.1016/0016-5085(92)91115-K · DOI · Paper page
  9. Marzio, 1988, Gallbladder kinetics in obese patients. Effect of a regular meal and low-calorie meal, Dig Dis Sci, 33, 4, 10.1007/BF01536623 · DOI
  10. D'Hondt, 2011, Prophylactic cholecystectomy, a mandatory step in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass?, J Gastrointest Surg, 15, 1532, 10.1007/s11605-011-1617-4 · DOI
  11. Escalona, 2008, Routine preoperative ultrasonography and selective cholecystectomy in laparoscopic Roux-en-Y gastric bypass, Why not? Obes Surg, 18, 47, 10.1007/s11695-007-9262-4 · DOI
  12. Kim, 2009, Safety and efficacy of simultaneous cholecystectomy at Roux-en-Y gastric bypass, Surg Obes Relat Dis, 5, 48, 10.1016/j.soard.2008.06.001 · DOI · Paper page
  13. Nougou, 2008, Almost routine prophylactic cholecystectomy during laparoscopic gastric bypass is safe, Obes Surg, 18, 535, 10.1007/s11695-007-9368-8 · DOI
  14. Ellner, 2007, Routine cholecystectomy is not mandatory during morbid obesity surgery, Surg Obes Relat Dis, 3, 456, 10.1016/j.soard.2006.11.008 · DOI · Paper page
  15. Swartz, 2005, Elective cholecystectomy after Roux-en-Y gastric bypass: why should asymptomatic gallstones be treated differently in morbidly obese patients?, Surg Obes Relat Dis, 1, 555, 10.1016/j.soard.2005.08.002 · DOI · Paper page
  16. Villegas, 2004, Is routine cholecystectomy required during laparoscopic gastric bypass?, Obes Surg, 14, 206, 10.1381/096089204322857573 · DOI
  17. Hamad, 2003, Elective cholecystectomy during laparoscopic Roux-en-Y gastric bypass: is it worth the wait?, Obes Surg, 13, 76, 10.1381/096089203321136638 · DOI · Paper page
  18. Worni, 2012, Cholecystectomy concomitant with laparoscopic gastric bypass: a trend analysis of the nationwide inpatient sample from 2001 to 2008, Obes Surg, 22, 220, 10.1007/s11695-011-0575-y · DOI · Paper page
  19. Sugerman, 1995, A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss, Am J Surg, 169, 91, 10.1016/S0002-9610(99)80115-9 · DOI · Paper page
  20. Montero, 2011, Reported excess weight loss after bariatric surgery could vary significantly depending on calculation method: a plea for standardization, Surg Obes Relat Dis, 7, 531, 10.1016/j.soard.2010.09.025 · DOI
  21. Li, 2009, Predictors of gallstone formation after bariatric surgery: a multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy, Surg Endosc, 23, 1640, 10.1007/s00464-008-0204-6 · DOI · Paper page
  22. Wudel, 2002, Prevention of gallstone formation in morbidly obese patients undergoing rapid weight loss: results of a randomized controlled pilot study, J Surg Res, 102, 50, 10.1006/jsre.2001.6322 · DOI · Paper page
  23. Scott, 2003, Intraoperative ultrasound and prophylactic ursodiol for gallstone prevention following laparoscopic gastric bypass, Surg Endosc, 17, 1796, 10.1007/s00464-002-8930-7 · DOI
  24. Patel, 2006, Gallbladder management during laparoscopic Roux-en-Y gastric bypass surgery: routine preoperative screening for gallstones and postoperative prophylactic medical treatment are not necessary, Am Surg, 72, 857, 10.1177/000313480607201003 · DOI
  25. Livingston, 2004, A nationwide study of conversion from laparoscopic to open cholecystectomy, Am J Surg, 188, 205, 10.1016/j.amjsurg.2004.06.013 · DOI
  26. Ahmed, 2007, Cholecystectomy during laparoscopic gastric bypass has no effect on duration of hospital stay, Obes Surg, 17, 1075, 10.1007/s11695-007-9181-4 · DOI
  27. Papasavas, 2006, Routine gallbladder screening not necessary in patients undergoing laparoscopic Roux-en-Y gastric bypass, Surg Obes Relat Dis, 2, 41, 10.1016/j.soard.2005.10.006 · DOI
  28. O'Brien, 2003, A rational approach to cholelithiasis in bariatric surgery: its application to the laparoscopically placed adjustable gastric band, Arch Surg, 138, 908, 10.1001/archsurg.138.8.908 · DOI · Paper page
  29. Tarantino, 2011, Is routine cholecystectomy justified in severely obese patients undergoing a laparoscopic Roux-en-Y gastric bypass procedure? A comparative cohort study, Obes Surg, 21, 1870, 10.1007/s11695-011-0495-x · DOI
  30. Jonas, 2010, Incidence of postoperative gallstone disease after antiobesity surgery: population-based study from Sweden, Surg Obes Relat Dis, 6, 54, 10.1016/j.soard.2009.03.221 · DOI
  31. Caruana, 2005, Incidence of symptomatic gallstones after gastric bypass: is prophylactic treatment really necessary?, Surg Obes Relat Dis, 1, 564, 10.1016/j.soard.2005.08.004 · DOI
  32. Patel, 2009, Perioperative management of cholelithiasis in patients presenting for laparoscopic Roux-en-Y gastric bypass: have we reached a consensus?, Am Surg, 75, 470, 10.1177/000313480907500604 · DOI
  33. Fobi, 2002, Prophylactic cholecystectomy with gastric bypass operation: incidence of gallbladder disease, Obes Surg, 12, 350, 10.1381/096089202321088138 · DOI
  34. Csendes, 2003, Histologic findings of gallbladder mucosa in 87 patients with morbid obesity without gallstones compared with 87 control subjects, J Gastrointest Surg, 7, 547, 10.1016/S1091-255X(02)00190-7 · DOI
  35. Guadalajara, 2006, Is prophylactic cholecystectomy useful in obese patients undergoing gastric bypass?, Obes Surg, 16, 883, 10.1381/096089206777822287 · DOI
  36. Portenier, 2007, Expectant management of the asymptomatic gallbladder at Roux-en-Y gastric bypass, Surg Obes Relat Dis, 3, 476, 10.1016/j.soard.2007.02.006 · DOI

Cited by

Sorted by citations

Metadata

Authors
Tsirline, V. B., Keilani, Z. M., El Djouzi, S., Phillips, R. C., Kuwada, T. S., Gersin, K., Simms, C., & Stefanidis, D.
Venue
Surgery for Obesity and Related Diseases
Publisher
Elsevier BV
Published
2014-03
Volume
10
Issue
2
Pages
313-321
ISSN
1550-7289
DOI
10.1016/j.soard.2013.10.011
Cited by
98
References
0
Language
en
Licence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review