Ursodeoxycholic Acid May Prevent Gallstones After Gastrectomy Ursodeoxycholic Acid May Prevent Gallstones After Gastrectomy

Ursodeoxycholic acid (UDCA) reduced gallstone formation after gastrectomy in a randomized, controlled study in Korea.Reuters Health Information
Source: Medscape General Surgery Headlines - Category: Surgery Tags: Gastroenterology News Source Type: news

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Condition:   Bariatric Surgery Candidate Interventions:   Procedure: patients with morbid obesity and gall bladder stone underwent concomitant laparoscopic cholecystectomy in the same setting during laparoscopic sleeve gastrectomy;   Procedure: patients with morbid obesity and gall bladder stone underwent laparoscopic sleeve gastrectomy without concom itant laparoscopic cholecystectomy Sponsor:   Zagazig University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
In this study, our aim is to show the follow-up results in patients with asymptomatic cholelithiasis who underwent LSG alone.METHODS: Patients undergoing primary LSG between March 2018 and September 2020 with asymptomatic gallbladder stones were included in this retrospective study. All patients underwent abdominal ultrasound (US) before surgery. Patients' demographics and postoperative outcomes were recorded.RESULTS: A total of 180 patients underwent primary LSG and completed the 1-year follow-up. The study population consisted of 42 patients (23%) with asymptomatic cholelithiasis. The mean age was 41.1±7.1 years (...
Source: The American Surgeon - Category: Surgery Authors: Source Type: research
Surg Obes Relat Dis. 2021 Feb 10:S1550-7289(21)00082-4. doi: 10.1016/j.soard.2021.02.003. Online ahead of print.ABSTRACTBACKGROUND: Bariatric surgery could increase the risk of cholelithiasis, although it is unclear whether the incidence rates of cholelithiasis are similar after different bariatric procedures.OBJECTIVES: To compare the incidence rates of cholelithiasis after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) in people with obesity.SETTING: Meta-analysis of cohort studies.METHODS: We searched the PubMed and Web of Science databases for relevant studies before December 2020, and estimated the summar...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Source Type: research
The objective of this study was to measure the pressures of the common bile duct in patients with and without cholelithiasis and to relate them to the presence of pancreatobiliary reflux.MethodsA prospective case ‐control study was designed. The universe was constituted by all patients undergoing total gastrectomy for gastric cancer stages I and II during 30 months. The primary outcome measure was to establish differences between common bile duct pressures in patients with and without cholelithiasis.ResultsCommon bile duct pressures in patients with gallstones showed a significant elevation (16.9 mmHg) compared to patien...
Source: Journal of Hepato-Biliary-Pancreatic Sciences - Category: Gastroenterology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Bariatric surgery could increase the risk of cholelithiasis, while it is unclear whether the incidences of cholelithiasis are similar after different bariatric procedures.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
This study aimed to investigate the role of treatment with ursodeoxycholic acid (UDCA) in the prevention of gallstone formation after laparoscopic sleeve gastrectomy (SG) in morbidly obese patients. METHODS: Patients who underwent SG for morbid obesity from January 2016 to September 2016 were evaluated. Patients without hepatobiliary disorders were included. Patients were divided into two groups based on whether they did (group-I) or did not receive treatment with UDCA(group-II). Indication for UDCA treatment was symptomatic alkaline reflux. Demographic characteristics, comorbid diseases, preoperative blood parameters,...
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
ConclusionDuring long-term follow-up, RY reconstruction was associated with lower incidence of bile reflux and gastritis, and higher incidence of gallstone formation than B-I reconstruction. The incidence of gastric residue was more common in the RY reconstruction group in the early postoperative period and became not significantly different between the two groups over time. For aged patients with RY reconstruction, cholecystectomy is recommended concurrently as gastrectomy.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
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