E-ISSN 2587-0610
Evaluation of the incidence and risk factors of early symptomatic cholelithiasis following obesity surgery in Turkish patients [Laparosc Endosc Surg Sci ]
Laparosc Endosc Surg Sci . 2023; 30(4): 196-200 | DOI: 10.14744/less.2023.82584

Evaluation of the incidence and risk factors of early symptomatic cholelithiasis following obesity surgery in Turkish patients

Mehmet Volkan Yiğit1, Zeynep Şener Bahçe2
1Department of General Surgery, Memorial Hospital, Diyarbakır, Türkiye
2Department of General Surgery, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye

INTRODUCTION: Obesity is a serious public health issue. According to 2016 data from the Turkish Statistical Institute, 15.2% of males and 23.9% of females aged 15 years or older were detected to be obese in Türkiye. The reason obesity alone is a health problem is that it is accompanied by comorbidities such as diabetes, hypertension, and chronic obstructive pulmonary disease.
METHODS: Data of 294 patients admitted to our hospital with a body mass index (BMI)>40 kg/m^2 who underwent laparoscopic sleeve gastrectomy between January 2015 and December 2020 were retrospectively examined. Demographic data, chronic disease histories, biochemical work-up data, hospitalization period, post-operative complications, and histopathological examination results were recorded.
RESULTS: 235 (80%) of our patients were female and 59 (20%) were male. The mean pre-operative BMI value of the females was found to be 42.3±3.58 kg/m2 [41-56 kg/m2]. The mean pre-operative BMI value of the males was found to be 47.6±7.74 kg/m2 [41-62 kg/m2]. After bariatric surgery, within the first 6 post-operative months, cholelithiasis was accompanied in a total of 35 patients (11.9%). Following bariatric surgery, 19 patients were operated on for gallstones. Thirteen of these patients were asymptomatic.
DISCUSSION AND CONCLUSION: We detected that the incidence of post-bariatric surgery cholelithiasis is low. Factors such as sex, age, and comorbidities were not associated with cholelithiasis development in our patients. Therefore, we believe that prophylactic cholecystectomy should be avoided.

Keywords: Bariatric surgery, Cholelithiasis, Obesity

Corresponding Author: Zeynep Şener Bahçe, Türkiye
Manuscript Language: English
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