Back to Search
Start Over
Incidence of symptomatic cholelithiasis after laparoscopic sleeve gastrectomy and its association with rapid weight loss
- Source :
- Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association, The Saudi Journal of Gastroenterology, Vol 26, Iss 2, Pp 94-98 (2020)
- Publication Year :
- 2020
- Publisher :
- Wolters Kluwer - Medknow, 2020.
-
Abstract
- Background/Aim: The worldwide prevalence of obesity has increased dramatically over the past years. In the Arab region, 66%–75% of adults and 25%–40% of children are either overweight or obese. Bariatric surgery has become the most effective approach for managing obesity and its co-morbidities. An expected outcome of bariatric surgery is cholelithiasis, which is one of the established risk factors of rapid weight loss. The aim of this study is to detect the incidence of symptomatic cholelithiasis among bariatric patients. Patients and Methods: A retrospective cohort study on 711 patients aged between 18 and 60 who underwent laparoscopic sleeve gastrectomy (LSG) was conducted at King Saud University Medical City from January 2016 to January 2018. Results: The postoperative incidence of symptomatic cholelithiasis was 3.5%. The mean duration of symptom development was 12.4 months. The rates of weight loss at 6 and 12 months for patients with symptomatic cholelithiasis were 28.94 ± 4.89% and 38.51 ± 6.84%, respectively (P = 0.002), which were significantly higher than in patients without symptomatic cholelithiasis during the same follow-up period (24.41 ± 6.6% and 32.29 ± 10.28%), respectively; (P = 0.012). Conclusion: We found a 3.5% incidence of symptomatic cholelithiasis among post-LSG patients in a period of 2 years. Rapid weight loss was the only risk factor that contributed to the development of post-LSG gallbladder disease. Statistical Analysis Used: Results were expressed as absolute numbers and percentages for categorical variables and as mean and standard deviation for continuous variables. A paired sample t-test was performed to determine significant differences between means at different time stamps. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS) version 23.0.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Gallbladder disease
Gallstones
Overweight
03 medical and health sciences
Young Adult
0302 clinical medicine
Weight loss
Gastrectomy
Risk Factors
Internal medicine
Weight Loss
Prevalence
Medicine
Humans
Cholecystectomy
Postoperative Period
Risk factor
lcsh:RC799-869
Retrospective Studies
Bariatric surgery
business.industry
Incidence (epidemiology)
Incidence
Gastroenterology
Retrospective cohort study
Middle Aged
medicine.disease
Obesity
Obesity, Morbid
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
lcsh:Diseases of the digestive system. Gastroenterology
Original Article
Female
Laparoscopy
medicine.symptom
laparoscopic sleeve gastrectomy
business
cholelithiasis
Subjects
Details
- Language :
- English
- ISSN :
- 19984049 and 13193767
- Volume :
- 26
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
- Accession number :
- edsair.doi.dedup.....fe51dd8fd436c3f665af2d71b03f0ab4