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Factors Affecting the Development of Gallstones Following Laparoscopic Sleeve Gastrectomy

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Abstract

Sleeve gastrectomy (SG) is a widely accepted procedure that has gained popularity among both bariatric surgeons and patients. There is still limited data in the literature on the formation of gallstones following laparoscopic sleeve gastrectomy, and so the present study determines the incidence of and potential risk factors related to the development of gallstones following laparoscopic sleeve gastrectomy. The data of patients who underwent laparoscopic sleeve gastrectomy at a single center due to morbid obesity between January 2014 and December 2017 was retrospectively reviewed and analyzed. The patients were divided into two groups, as those with gallstones detected on ultrasound at 12 months and those without gallstones. Data of the two groups was compared. BMI did not differ significantly between patients with positive (+) and negative (−) ultrasound findings (p > 0.05). Aside from age, hypertension, and coronary artery disease, other preoperative parameters showed no significant association with the development of gallstones in USG (−) and USG (+) patients. The present study identified no significant relationship between a decrease in BMI following LSG and the postoperative development of gallstones. Preoperative hypertension and coronary artery disease were found to be significantly related to the development of gallstones after surgery. The authors suggest that patients with preexisting CAD and hypertension in the preoperative period must be followed-up with ultrasound more meticulously.

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Authors and Affiliations

  1. Department of General Surgery, Faculty of Medicine, Adiyaman University, Adıyaman, Turkey

    Sabri Özdaş

  2. Gastrointestinal Surgery, Kosuyolu Research and Education Hospital, University of Health Sciences, Istanbul, Turkey

    Hilmi Bozkurt

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  1. Sabri Özdaş
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  2. Hilmi Bozkurt
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All of the authors participated in the design, execution, and analysis of the paper and approved the final version.

Corresponding author

Correspondence to Hilmi Bozkurt.

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Board of ethics approval for this study was obtained from the ethics commission of Adiyaman University. Approval no. 2019/2-10. Approval date 20.03.2019. This study is retrospective and therefore no consent form is needed.

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The authors declare that they have no conflict of interest.

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Özdaş, S., Bozkurt, H. Factors Affecting the Development of Gallstones Following Laparoscopic Sleeve Gastrectomy. OBES SURG 29, 3174–3178 (2019). https://doi.org/10.1007/s11695-019-03946-w

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