Prevalence of Cholecystitis in Morbidly Obese Patients After Laparoscopic Sleeve Gastrectomy
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Abstract
Background Aims: Rapid weight loss after laparoscopic sleeve gastrectomy is associated with an increased risk of cholelithiasis. With 7-15% of patients requiring cholecystectomy after bariatric surgery, there is ongoing debate regarding the potential benefits of performing cholecystectomy with the primary bariatric surgery. The goals of this study were to investigate the frequency and timing of cholecystectomies post LSG and determine the associated risk of choledocholithiasis post LSG in Prince Sultan Military Medical City, Riyadh. Subjects and methods: A retrospective cohort study of 1112 patients undergoing LSG. The inclusion criteria are patients who are age above 18 years old who underwent laparoscopic sleeve gastrectomy (LSG). Statistical analysis: Analysis was performed using IBM’s Statistical Package for the social Sciences (SPSS) version 21.0. Results were expressed in numbers and percentages for categorical variables. Continuous variables were expressed as means and standard deviations. All the comparisons were analyzed using non-parametric methods. The level selected for statistical significance was a probability value <0.05. Results: Our results shows the main cause of having cholecystitis is the significant loss of weight within the first six months Conclusion: A 17.9% incidence of symptomatic cholelithiasis was noted among post-LSG patients over a period of seven years. Rapid weight loss was the only risk factor that contributed to the development of post-LSG gallbladder stone disease.
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