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Systematic review of management of gallbladder disease in patients undergoing minimally invasive bariatric surgery

Leyva-Alvizo, Adolfo, Arredondo-Saldaña, Gabriela, Leal-Isla-Flores, Valeria, Romanelli, John, Sudan, Ranjan, Gibbs, Karen E., Petrick, Anthony, Soriano, Ian S.·2020·Surgery for Obesity and Related Diseases
DOI 10.1016/j.soard.2019.10.016
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Abstract

The introduction and subsequent widespread adaptation of minimally invasive approaches for bariatric surgery have not only changed the outcomes of bariatric surgery but also called into question the management of co-morbid surgical conditions, in particular gallbladder disease. The American Society for Metabolic and Bariatric Surgery Foregut Committee performed a systematic review of the published literature from 1995-2018 on management of gallbladder disease in patients undergoing bariatric surgery. The papers reviewed generated the following results. (1) Routine prophylactic cholecystectomy at the time of bariatric surgery is not recommended. (2) In symptomatic patients who are undergoing bariatric surgery, concomitant cholecystectomy is acceptable and safe. (3) Ursodeoxycholic acid may be considered for gallstone formation prophylaxis during the period of rapid weight loss. (4) Routine preoperative screening and postoperative surveillance ultrasound is not recommended in asymptomatic patients. In the era of minimally invasive surgery, the management of gallbladder disease in patients undergoing bariatric surgery continues to evolve.

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Crossref · 10.1016/j.soard.2019.10.016

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  • Current clinical practice guidelines do not recommend ultrasound screening for asymptomatic gallstones yet recommend concomitant cholecystectomy only for symptomatic patients undergoing bariatric surgery.

    “Hence, the current clinical practice guidelines do not recommend ultrasound screening for asymptomatic gallstones yet recommend concomitant cholecystectomy only for symptomatic patients undergoing bariatric surgery [38].”

    From Prevention of Gallstones After Bariatric Surgery using Ursodeoxycholic Acid: A Narrative Review of Literatures (2022) · cites this paper as [38]

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Metadata

Authors
Leyva-Alvizo, A., Arredondo-Saldaña, G., Leal-Isla-Flores, V., Romanelli, J., Sudan, R., Gibbs, K. E., Petrick, A., & Soriano, I. S.
Venue
Surgery for Obesity and Related Diseases
Publisher
Elsevier BV
Published
2020-01
Volume
16
Issue
1
Pages
158-164
ISSN
1550-7289
DOI
10.1016/j.soard.2019.10.016
Cited by
40
References
2
Language
en
Licence
Funders
Gundersen Health System

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