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Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
Gallstone-related complications after Roux-en-Y gastric bypass: a prospective study.
Rachid G Nagem1, Alcino Lázaro-da-Silva, Rafael Morroni de Oliveira
1Division of General Surgery, Ipsemg Hospital, Belo Horizonte, Brazil. rgnagem@yahoo.com.br
Hepatobiliary & Pancreatic Diseases International : HBPD INT
|December 13, 2012
Summary
Gallstones are common after gastric bypass surgery. Some patients develop complications like biliary pain and pancreatitis, suggesting prophylactic gallbladder removal may be beneficial.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Gallstone Disease
Background:
- Gastric bypass is a common bariatric procedure with a high rate of post-operative gallstone formation.
- The clinical significance and consequences of gallstones after gastric bypass are debated.
- Prophylactic cholecystectomy during gastric bypass is considered but carries increased costs and risks.
Purpose of the Study:
- To investigate the incidence and types of gallstone-related complications following Roux-en-Y gastric bypass (RYGBP).
- To evaluate the necessity of prophylactic cholecystectomy in patients undergoing RYGBP.
Main Methods:
- Prospective observational study involving 40 morbidly obese patients without pre-existing gallbladder disease.
- Patients underwent open RYGBP and were followed clinically and via ultrasound for 3 years.
- 38 patients completed the 3-year follow-up.
Main Results:
- 28.9% of patients developed gallstones (cholelithiasis).
- 10.5% experienced biliary pain, and 5.3% suffered acute biliary pancreatitis.
- No cases of acute cholecystitis, choledocholithiasis, or bile duct dilation were observed. No deaths occurred.
Conclusions:
- Gallstone complications are relatively common after RYGBP.
- Complications such as acute pancreatitis can have severe outcomes.
- Consideration for cholecystectomy during or after RYGBP is warranted if gallstones develop.
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