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Abstract

SIMPLE CLINICAL REVIEW ABOUT THE ASSOCIATION OF BARIATRIC SURGERY WITH DEVELOPMENT OF CHOLELITHIASIS

Sultan Abdullah Bin Jerais*, Mohammad Taleb, Sarah Mohamed Sayed, Wejdan Abdulmoniem Alsumaien, Ahmed Tabaan Alenezi, Ashwaq Musaed AL- mutairi, Fahad Obaid Al-Namshah, Raad Jamaan Alghamdi, Rana Mohammed Ahmad and Marram Jaber Al Haider

ABSTRACT

Background: Significant research papers were published to assess the relation between rapid weight loss and the development of cholelithiasis and the risk factors behind it. Assessment of cholelithiasis development after rapid weight loss as a result in most of bariatric surgery will help in reducing the admission rate to hospitals because of colic pain, and the complication related to stones formation. Objective: This study aims to: 1) Measure the association of rapid weight loss with the development of gallbladder stones. 2) Identify the role of prophylactic cholecystectomy. Methods: PubMed database was used for articles selection. All relevant articles to our review with the following topics: Bariatric Surgery, Gallbladder stones, bariatric surgery complication were included. We excluded other articles which are not related to this field. The data will be extracted according to specific form in which it is going to be reviewed by group members to assess the relation between bariatric surgery and the development of stones, and weight the benefits of prophylactic cholecystectomy against gallbladder stones. Conclusion: Bariatric surgery can lead to gallstone formation because of the rapid excess weight loss. Small percentage may become symptomatic and rarely cholecystectomy becomes needed during the first year of the bariatric surgery. So, it is not evidently recommended to be done as prophylaxis. However, Prophylactic medicinal therapy (Ursodeoxycholic acid) in the first 6 months can be used instead.

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