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Cholelithiasis after Billroth II gastric resection
D Lorusso1, G Misciagna, M R Noviello
1Department of Radiology, Istituto di Ricovero e Cura a Carattere Scientifico, Castellana Grotte (Bari), Italy.
Surgery
|May 1, 1988
Summary
Billroth II gastric resection may predispose men to gallstones. A study found a higher incidence of cholelithiasis in male patients post-surgery compared to the general population.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Epidemiology
Background:
- Gallstones (cholelithiasis) are a common condition.
- Surgical procedures, like Billroth II gastric resection, can alter physiological processes.
- The potential link between Billroth II (BII) gastric resection and gallstone formation requires investigation.
Purpose of the Study:
- To determine if Billroth II (BII) gastric resection is a predisposing factor for gallstone formation.
- To compare the observed prevalence of cholelithiasis in BII patients with expected population frequencies.
Main Methods:
- Retrospective analysis of 202 patients undergoing BII gastric resection for peptic ulcers (1980-1985).
- Pre-operative imaging (cholecystography or ultrasonography) data analyzed.
- Follow-up ultrasonography of the biliary tract for 133 patients (66% recall rate).
- Comparison of observed gallstone prevalence with expected frequencies from a population sample.
Main Results:
- Initial pre-operative comparison showed no statistically significant difference in gallstone prevalence between BII patients and the general population.
- Long-term follow-up revealed a statistically significant higher prevalence of cholelithiasis in male patients who underwent BII gastric resection.
- No significant difference was observed in female patients.
Conclusions:
- Billroth II gastric resection may be a predisposing factor for the development of gallstones, particularly in men.
- Further research is warranted to elucidate the mechanisms behind this association.