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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Published inObesity 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
LanguageEnglish
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
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ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-022-05889-1