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العنوان
Incidence of gallstones after laparoscopic bariatric surgeries /
الناشر
Ahmed Samir Fouad Tammam ,
المؤلف
Ahmed Samir Fouad Tammam
هيئة الاعداد
باحث / Ahmed Samir Fouad Tammam
مشرف / Hisham Ahmed Abou Eisha
مشرف / Mohamed Diaa Sarhan
مشرف / Ahmed Mohammed Abdelsalam
تاريخ النشر
2018
عدد الصفحات
57 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
24/12/2018
مكان الإجازة
جامعة القاهرة - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 67

from 67

Abstract

Background Cholelithiasis is a common complication after bariatric surgery due to rapid weight loss. Pure restrictive procedures such as sleeve gastrectomy and gastric banding theoretically should result in less gallstone formation because the food continues to follow the normal gastrointestinal transit, maintaining the enteric-endocrine reflex intact. This study aimed to identify the incidence of gallstone formation after bariatric surgery and to compare the rates of gallstones between different procedures of bariatric surgery.Method A prospective and retrospective case series study of two hundred and fifty patients who underwent laparoscopic bariatric surgeries in the last 2 years in bariatric surgery department of Kasr Al-Ainy hospital. The patients with previous cholecystectomy, known gallstones with or without concomitant cholecystectomy were excluded from the analysis. All those patients followed by abdominal ultrasound for a period of 6 months to 2 years. Risk factors, including age, gender, types of operation, and EBWL% were analyzed for their association with postoperative gallstones formation.Results The incidence of post-bariatric surgery development of cholelithiasis was 28.4 % (71 patients from 250), 59.1 % of them were symptomatic (42 out of 71 patients). Individually, it was 23.4 % in LSG group, 81.25 % in LRYGB group and 36 % in MGB patients-