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Systematic review of management of gallbladder disease in patients undergoing minimally invasive bariatric surgery
Affiliation:1. Tecnológico de Monterrey, Escuela de Medicina, Monterrey, Nuevo Leon, Mexico;2. University of Massachusetts Medical School, Baystate Medical Center, Springfield, Massachusetts;3. Department of Surgery, Duke University Medical Center, Durham, North Carolina;4. Donald & Barbara Zucker School of Medicine at Hofstra/Northwell, Staten Island University Hospital, Staten Island, New York;5. Geisinger Medical Center, Danville, Pennsylvania;6. University of Pennsylvania Perelman School of Medicine, Pennsylvania Hospital, Philadelphia, Pennsylvania;1. Department of Surgery, Oregon Health and Science University, Portland, Oregon;2. Department of Surgery, University of California, San Francisco, California;1. Department of Anesthesiology, Chi Mei Medical Center, Tainan, Taiwan;2. Department of Emergency Medicine, E-Da Hospital, Kaohsiung, Taiwan;3. School of Medicine, I-Shou University, Kaohsiung, Taiwan;4. Weight Loss and Health Management Center, E-Da Dachang Hospital, Kaohsiung, Taiwan;5. Department of Occupation Therapy, College of Medicine, I-Shou University, Kaohsiung, Taiwan;1. Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon;2. Department of Surgery, Makassed General Hospital, Beirut, Lebanon;1. Department of General Surgery, Beni Suef University, Beni Suef, Egypt;2. Department of General Surgery, Cairo University, Giza, Egypt;3. Department of Reproductive Health, National Research Center, Dokki, Egypt;1. Department of Surgery, Jurong Health Campus, National University Health System, Singapore;2. Department of Surgery, National University Hospital, National University Health System, Singapore;3. Department of Surgery, National University of Singapore, Singapore
Abstract:The introduction and subsequent widespread adaptation of minimally invasive approaches for bariatric surgery have not only changed the outcomes of bariatric surgery but also called into question the management of co-morbid surgical conditions, in particular gallbladder disease. The American Society for Metabolic and Bariatric Surgery Foregut Committee performed a systematic review of the published literature from 1995–2018 on management of gallbladder disease in patients undergoing bariatric surgery. The papers reviewed generated the following results. (1) Routine prophylactic cholecystectomy at the time of bariatric surgery is not recommended. (2) In symptomatic patients who are undergoing bariatric surgery, concomitant cholecystectomy is acceptable and safe. (3) Ursodeoxycholic acid may be considered for gallstone formation prophylaxis during the period of rapid weight loss. (4) Routine preoperative screening and postoperative surveillance ultrasound is not recommended in asymptomatic patients. In the era of minimally invasive surgery, the management of gallbladder disease in patients undergoing bariatric surgery continues to evolve.
Keywords:bariatric surgery  gastric bypass  lap band  gastric band  sleeve gastrectomy  biliopancreatic diversion  duodenal switch  cholelithiasis  cholecystectomy  choledocholithiasis  biliary tract disease  gallbladder disease
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