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Research Article
Volume 5 Issue 5 - 2020
Incidence of Cholelithiasis Following Bariatric and Metabolic Surgery - A Retrospective Study
Ayushka Ugale1, Trilok Ram2 and Surendra Ugale3*
1Surgeon, Department of Advanced Laparoscopy, Bariatric and Metabolic Surgery, Virinchi Hospital, Hyderabad, India
2Nutritionist, Department of Bariatric and Metabolic Surgery, Virinchi Hospital, Hyderabad, India
3Chief, Department of Advanced Laparoscopy, Bariatric and Metabolic Surgery, Kirloskar and Virinchi Hospitals, Hyderabad, India
*Corresponding Author: Surendra Ugale, Chief, Department of Advanced Laparoscopy, Bariatric and Metabolic Surgery, Kirloskar and Virinchi Hospitals, Hyderabad, India.
Received: March 20, 2020; Published: April 30, 2020




Abstract

Introduction: Metabolic syndrome is now a recognized surgical problem and can be treated with a wide range of surgeries. The occurrence of gallstone formation following rapid weight loss after various bariatric surgeries has been studied. 

Aim: The purpose of this study was to evaluate the incidence of gallstone formation after undergoing various bariatric and metabolic procedures and to assess whether it is necessary to perform concomitant cholecystectomy, to prevent major problems caused due to gallstone formation.

Materials and Methods: A retrospective study was done among patients who underwent bariatric and metabolic surgery between February 2008 and December 2019. The patients were then grouped into two: group A (those who developed gallstones or sludge) and group B (those who did not). The time and weight at which the patient developed gallstones was noted. 

Results: Of 753 patients who underwent bariatric and metabolic surgery, 662 patients were included in this study. We observed that 42 (6.34%) developed gallstones or sludge (group A), while 620 (93.66%) remained free of gall bladder disease (group B). 35.72% of group A developed stones or sludge within 1yr, which can be attributed to weight loss following surgery, whereas 64.26% developed stones after 1 year.

Conclusion: Prophylactic use of Ursodeoxycholic acid (UDCA) for the first 6 months should be implemented to reduce the incidence of gall stone formation after metabolic surgery. Concomitant cholecystectomy should be reserved for cases with preoperative finding of gallstones.

Keywords: Cholelithiasis; Bariatric Surgery; Gallstones

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Citation: Surendra Ugale., et al. “Incidence of Cholelithiasis Following Bariatric and Metabolic Surgery - A Retrospective Study”. EC Endocrinology and Metabolic Research 5.5 (2020): 44-56.

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