Cholecystectomy Concomitant with Bariatric Surgery: Safety and Metabolic Effects

Background Obesity and fast weight loss in the postoperative period of bariatric surgery increase significantly the risk of cholelithiasis. Moreover, emerging evidence has pointed out the role of bile acids as possible metabolism and weight loss enhancers. This study aims to analyze the influence of...

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Bibliographic Details
Published in:	Obesity surgery Vol. 32; no. 4; pp. 1093 - 1102
Main Authors:	de Lucena, Anna Victória Soares, Cordeiro, Gabriel Guerra, Leão, Luis Henrique Albuquerque, Kreimer, Flávio, de Siqueira, Luciana Teixeira, da Conti Oliveira Sousa, Guilherme, de Lucena, Luiz Henrique Soares, Ferraz, Álvaro Antônio Bandeira
Format:	Journal Article
Language:	English
Published:	New York Springer US 01-04-2022 Springer Nature B.V
Subjects:	Cholecystectomy Gallstones Gastrointestinal surgery Medicine Medicine & Public Health Metabolism Original Contributions Postoperative period Surgery Surgical outcomes Obesity Laparoscopic cholecystectomy Cholelithiasis Postoperative complications Bariatric surgery
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Summary:	Background Obesity and fast weight loss in the postoperative period of bariatric surgery increase significantly the risk of cholelithiasis. Moreover, emerging evidence has pointed out the role of bile acids as possible metabolism and weight loss enhancers. This study aims to analyze the influence of cholecystectomy (CL) concomitant with bariatric surgery on weight loss, metabolic repercussions, and postoperative morbidity. Study Design Retrospective cohort study. A total of 363 medical records were analyzed between 2002 and 2017, with 255 patients divided into four groups: with concomitant CL: sleeve gastrectomy (SG + CL group) and Roux-en-Y gastric bypass (GB + CL group); without concomitant CL: sleeve gastrectomy (SG group) and RYGB (GB group). Results CL concomitant with bariatric surgery is not related to worse long-term metabolic outcomes when compared to isolated bariatric surgery. In the postoperative follow-up of the isolated bariatric surgeries, 18 (16.5%) patients underwent cholecystectomy. There was no statistical difference between the groups regarding post-surgical complications. Conclusion CL did not lead to worse metabolic outcomes and was also not related to a higher incidence of postoperative complications. Cholelithiasis and cholecystitis are important concerns in the postoperative period of bariatric surgery and a careful evaluation of the concomitant procedure should be performed. Graphical abstract
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0960-8923 1708-0428
DOI:	10.1007/s11695-022-05889-1