Biliary complications associated with weight loss,cholelithiasis and choledocholithiasis  

作　　者：Marcelo A Ribeiro Jr Gabriela K Tebar Helena B Niero Leticia S Pacheco 

机构地区：[1]Department of Surgery,Division of Trauma,Critical Care and Acute Care Surgery,Sheikh Shakhbout Medical City,Abu Dhabi 11001,United Arab Emirates [2]Department of Surgery,Pontifical Catholic University of São Paulo-Campus Sorocaba,Sorocaba 18030070,SP,Brazil

出　　处：《World Journal of Gastrointestinal Pharmacology and Therapeutics》2024年第4期1-8,共8页世界胃肠药理与治疗学杂志（英文版）（电子版）

基　　金：The authors have read the PRISMA 2009 Checklist,and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

摘　　要：Biliary complications like cholelithiasis and choledocholithiasis are more common in bariatric surgery patients due to obesity and rapid weight loss.Patients with a body mass index>40 face an eightfold risk of developing cholelithiasis.Postbariatric surgery,especially after laparoscopic Roux-en-Y gastric bypass(LRYGB),30%of patients develop biliary disease due to rapid weight loss.The aim of this review is to analyze the main biliary complications that occur after bariatric surgery and its management.A review of the literature was conducted mainly from 2010 up to 2023 with regard to biliary complications associated with bariatric patients in SciELO,PubMed,and MEDLINE.Patients undergoing LRYGB have a higher incidence(14.5%)of symptomatic calculi post-surgery compared to those undergoing laparoscopic sleeve gastrectomy at 4.1%.Key biliary complications within 6 to 12 months post-surgery include:Cholelithiasis:36%;Biliary colic/dyskinesia:3.86%;Acute cholecystitis:0.98%-18.1%;Chronic cholecystitis:70.2%;Choledocholithiasis:0.2%-5.7%and Pancreatitis:0.46%-9.4%.Surgeons need to be aware of these complications and consider surgical treatments based on patient symptoms to enhance their quality of life.

关 键 词：Bariatric surgery COMPLICATIONS CHOLEDOCHOLITHIASIS CHOLELITHIASIS Acute cholecystitis 

分 类 号：R575[医药卫生—消化系统]