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Obesity Surgery
Published in: Obesity Surgery 10/2018

01-10-2018 | Review Article

Cholecystectomy in Patients Submitted to Bariatric Procedure: A Systematic Review and Meta-analysis

Authors: Francisco Tustumi, Wanderley M. Bernardo, Marco A. Santo, Ivan Cecconello

Published in: Obesity Surgery | Issue 10/2018

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Abstract

Weight loss following bariatric surgery increases risk for biliary stones. This study performed a meta-analysis evaluating cholecystectomy risks in bariatric patients. A systematic review and meta-analysis were performed. We evaluated the incidence rate for biliary complications in patients followed after bariatric surgery. We compared the risks for mortality, complications, and in hospital stay among patient submitted to cholecystectomy before, concomitantly with or after bariatric surgery, as well as patients submitted to bariatric surgery and cholecystectomy, and patients submitted only to bariatric surgery in order to evaluate when to perform cholecystectomy in morbidly obese patients. The incidence rate of biliary complications was 5.54 cases/1000 patient year. The addition of cholecystectomy to bariatric surgery resulted in an increased risk for complications (RD = 0.02). The risk for complications (RD = − 0.09) and reoperation (RD = − 0.02) was lower when performed concomitantly with bariatric surgery compared to post-bariatric procedure. Prophylactic cholecystectomy may be avoided. Patients submitted to bariatric surgery have low incidence rate of biliary complications, and concomitant cholecystectomy increases the risk for postoperative complications and operative time. If cholecystectomy is not indicated, patients should be carefully followed with attention for biliary complications, once cholecystectomy performed post-bariatric surgery is at higher risk for complications and reoperations.
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Metadata
Title
Cholecystectomy in Patients Submitted to Bariatric Procedure: A Systematic Review and Meta-analysis
Authors
Francisco Tustumi
Wanderley M. Bernardo
Marco A. Santo
Ivan Cecconello
Publication date
01-10-2018
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3443-1

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