ASK DR ELLIE: Will dieting make my gallstones even worse?
DR ELLIE CANNON: Frustratingly, gallstones are associated with being overweight, so many sufferers may already be in the process of attempting to lose a few pounds.
Exp Clin Endocrinol Diabetes DOI: 10.1055/a-1033-7273Cholesterol gallstone disease (CGD) affects 10–15% of the adult population worldwide and the prevalence increases as a result of longer life expectancy as well as rising obesity in the general population. Beside well established CGD risk factors including environmental and genetic determinants (LITH genes), a correlation between thyroid dysfunction and CGD has been suggested in several human and murine studies. Although the precise underlying mechanisms are poorly understood, thyroid hormones may impact bile flow, bile compositio...
AbstractPurpose of ReviewObesity is associated with multiple gastrointestinal and liver diseases such as gastroesophageal reflux disease, Barrett ’s esophagus, esophageal adenocarcinoma, cholelithiasis, colon polyps, and fatty liver disease. To effectively manage obesity, it is imperative to understand current and emerging therapies and procedures.FindingsObesity is becoming increasingly prevalent and is associated with a growing monetary health care burden. Cardiac disease, cerebrovascular disease, and diabetes are among the leading causes of preventable and premature death of Americans related to obesity. In additi...
ConclusionsIn our study, higher %TWL and preoperative pain syndrome were associated with an increased risk for cholecystectomy besides the traditional risk factors female gender and Caucasian ethnicity. These factors can be used to identify high-risk patients, who might benefit from preventive measures. Whether statins can protect bariatric patients from developing gallstones should be investigated prospectively.
Laparoscopic cholecystectomy in the morbidly obese may be associated with increased operative difficulty and morbidity compared with non-obese patients. Obesity itself is a factor for the development of gallstone disease, and periods of weight loss further increase the risk of gallstone formation. In the obese patient, the hypersecretion of cholesterol is considered to be the culprit that increases the risk of gallstone disease. Jonas et al. described a five-fold increased risk of symptomatic gallstone disease after obesity surgery compared with the general population .
CONCLUSION: Our study reinforces the role of older age, obesity and hepatomegaly as predictors of fatty liver disease. These variables should be considered in the assessment of fatty changes in the livers of potential liver donors.
Obesity and rapid weight loss following bariatric surgery are risk factors for developing gallstones and gallstone-related complications. Optimal perioperative management of bariatric surgical patients with asymptomatic gallstones remains controversial. We performed a systematic review to determine the safety of prophylactic cholecystectomy (PCC) concurrent with laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG).
Is well know that the fast weight loss can be a factor for cholelithiasis also with several big changes on meals intake that happens on people after sleeve gastrectomy surgery. An observational, descriptive, cross-sectional study with retrospective data collection was done, to determine frequency of cholelithiasis in postoperative patients with vertical sleeve gastrectomy. The universe was 317 patients to the total of patients who attended consultation for the first time during March 2013 - October 2018 at obesity and bariatric surgery clinic (COCIB), due to obesity, to opt for the performance of vertical sleeve gastrectom...
Cholelithiasis is a very common comorbidity in morbidly obese. Cholecystectomy at the time of Laparoscopic sleeve gastrectomy (LSG) is a proper solution that usually done by five port technique. Using four ports technique is safer, less painful and no ugly scar resulted from the Epigastric port. We here showing our results in Helwan University Hospitals from 2016 to 2019.
ConclusionsAlthough the incidence is rare, elaborating thorough anamnesis, physical and basic laboratory examinations in gastrointestinal obstruction should consider gallstone ileus as a potential differential diagnosis particularly in a patient with any risk factors of the biliary disease. Enterolithotomy only might be acceptable for any emergency case due to the equivalent clinical outcomes and relatively low complications.
CONCLUSION: The closure of MDs eliminated the risk of IH in half of the operated patients of LRYGB in this series. PMID: 31521564 [PubMed - as supplied by publisher]