There is a strong association between obesity and gallstones; however, there is no clear evidence regarding the optimal order of gastric bypass surgery and gallbladder surgery (cholecystectomy) when both procedures are clinically indicated.
There is a strong association between obesity and gallstones; however, there is no clear evidence regarding the optimal order of gastric bypass surgery and gallbladder surgery (cholecystectomy) when both procedures are clinically indicated. In a BJS (British Journal of Surgery) analysis, there was a higher risk of complications when cholecystectomy was performed after bypass surgery rather than before.
The analysis was based on data from the Swedish Register for Cholecystectomy and Endoscopic Retrograde Cholangiopancreatography (79,386 patients) and the Scandinavian Obesity Surgery Registry (36,098 patients) from 2007 to 2013.
“For patients with obesity and symptomatic gallstone disease, the best strategy complication-wise is to perform cholecystectomy before gastric bypass,” said lead author Viktor Wanjura, of Örebro University, in Sweden.
Additional Information
Link to Study: http://onlinelibrary.wiley.com/doi/10.1002/bjs.10666/full
About Journal
BJS is published on behalf of the BJS Society Ltd by John Wiley & Sons Ltd. The Journal’s influence and standing has grown over the years through the ownership of its registered charity, the BJS Society. The Society’s objectives are to advance and improve education in surgery and to diffuse knowledge on new and improved methods of teaching and practising surgery in all its branches. It does this primarily through the promotion of the Journal but it has also developed strategic European partnerships. The BJS Council of Management is drawn mainly from these partner surgical associations whose relationship has increased the Journal profile and broadened its attraction globally. The Council is proud of the quality of the journal, the content of which is further enhanced by a hands-on approach by its editorial team in improving submitted manuscripts and the journal content.
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