Risk of Biliary Events After Selective Cholecystectomy During Biliopancreatic Diversion with Duodenal Switch

@article{Sucandy2015RiskOB,
  title={Risk of Biliary Events After Selective Cholecystectomy During Biliopancreatic Diversion with Duodenal Switch},
  author={Iswanto Sucandy and Moaz Abulfaraj and Mary C. Naglak and Gintaras Antanavicius},
  journal={Obesity Surgery},
  year={2015},
  volume={26},
  pages={531-537}
}
BackgroundApproximately 20 % of adults over 40 years of age in the USA develop cholelithiasis (Topart et al. Surg Obes Relat Dis. 9(4):526–30, 2013). Despite a higher incidence of biliary complications reported in postbariatric patients, it remains controversial whether simultaneous routine cholecystectomy should be performed during biliopancreatic diversion and duodenal switch (BPD/DS) or if a selective approach is more appropriate. The aim of this study was to evaluate incidence of biliary… 

Duodenal switch without versus with laparoscopic cholecystectomy: a perioperative risk comparative analysis of the MBSAQIP database (2015–2019)

TLDR
A retrospective analysis of the MBSAQIP database between 2015 and 2019 found that concomitant cholecystectomy during BPD-DS increases operative times but does not affect the other outcomes.

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

TLDR
Patients submitted to bariatric surgery have low incidence rate of biliary complications, and concomitant cholecystectomy increases the risk for postoperative complications and operative time, and patients should be carefully followed with attention for biliary complication, once choleCystectomy performed post-bariatric surgery is at higher risk for complications and reoperations.

References

SHOWING 1-10 OF 26 REFERENCES

Routine cholecystectomy during laparoscopic biliopancreatic diversion with duodenal switch is not necessary.

  • S. BardaroM. Gagner A. Pomp
  • Medicine
    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
  • 2007

Weight loss is more sustained after biliopancreatic diversion with duodenal switch than Roux-en-Y gastric bypass in superobese patients.

  • P. TopartG. BecouarnP. Ritz
  • Medicine
    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
  • 2013

Impact of rapid weight reduction on risk of cholelithiasis after bariatric surgery.

TLDR
There was no statistical evidence that postoperative gallstone formation is associated significantly with the variables studied, and the high correlation between morbid obesity, rapid weight loss and gallbladder disease was confirmed.

Expectant management of the asymptomatic gallbladder at Roux-en-Y gastric bypass.

Is Prophylactic Cholecystectomy Useful in Obese Patients Undergoing Gastric Bypass?

TLDR
Based on results and given the absence of morbidity, it is believed that prophylactic cholecystectomy is suitable during open gastric bypass.

How frequently and when do patients undergo cholecystectomy after bariatric surgery?

Two years of clinical experience with biliopancreatic bypass for obesity.

TLDR
Complications of jejunoileal bypass should not occur after an operation that, without leaving any blind intestinal loop and without interfering with enterohepatic bile salt circulation, can induce a malabsorption selective for foodstuffs with caloric value.

Bilio‐pancreatic bypass for obesity: II. Initial experience in man

TLDR
Liver function studies showed the absence of hepatic deterioration and liver biopsies showed improvement of liver morphology 1 year after the operation, and it is suggested that this procedure may be an alternative to jejuno‐ileal bypass in the management of obesity.

Biliopancreatic Diversion with a New Type of Gastrectomy

TLDR
Weight loss was mainly a function of biliopancreatic diversion, but increased weight loss in the new procedure despite a doubling of the common ileal limb suggests that parietal gastrectomy contributed to weight loss.