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Predictive factors of biliary complications after bariatric surgery

Chang, Julietta, Corcelles, Ricard, Boules, Mena, Jamal, Mohammad H., Schauer, Philip R., Kroh, Matthew D.·2016·Surgery for Obesity and Related Diseases
DOI 10.1016/j.soard.2015.11.004
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Abstract

Background Obesity and rapid weight loss are risk factors for gallstone development. Bariatric surgery and significant postoperative weight loss are associated with postoperative biliary complications. Objective We aim to identify predictive factors of biliary complications after bariatric surgery. Setting University hospital. Methods After Institutional Review Board approval, charts at a single institution were reviewed to identify patients with biliary complications after bariatric surgery from 2005 to 2012. Data collected included baseline patients demographic characteristics, perioperative parameters, and postoperative biliary complications. Parameters were analyzed using paired and unpaired Student t test for continuous variables and χ 2 test for categorical variables. Univariate and multivariate analyses were used to assess risk factors for complications after bariatric surgery. All tests were 2 tailed; results with P Results One hundred thirty-eight (3.6%) of 3765 patients who underwent bariatric surgery developed postoperative biliary complications. Mean time from surgery to biliary complication was 1.8±1.4 years. Complications included acute cholecystitis (18.1%), chronic cholecystitis (70.2%), acute pancreatitis (9.4%), choledocholithiasis (5.7%), and jaundice (2.8%). Interventions were laparoscopic (n = 134, 97.0%) and open (n = 1, .7%) cholecystectomy. Forty patients (28.9%) had known cholelithiasis before surgery. There were no mortalities. Univariate analysis id…

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Metadata

Authors
Chang, J., Corcelles, R., Boules, M., Jamal, M. H., Schauer, P. R., & Kroh, M. D.
Venue
Surgery for Obesity and Related Diseases
Publisher
Elsevier BV
Published
2016-11
Volume
12
Issue
9
Pages
1706-1710
ISSN
1550-7289
DOI
10.1016/j.soard.2015.11.004
Cited by
46
References
2
Language
en
Licence

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