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The ASMBS Textbook of Bariatric Surgery pp 365–372Cite as

Management of the Gallbladder Before and After Bariatric Surgery

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Abstract

Cholecystectomy is common following bariatric surgery procedures, making the assessment of gallbladder disease a critical component of post-bariatric surgery care. From the standpoint of patient education, there must be an emphasis on adherence to prophylactic therapy, should it be prescribed by the surgeon. For the bariatric surgeon, a conscientious decision must be made regarding the necessity and timing of a cholecystectomy. This chapter will describe the pathophysiology of cholesterol gallstone formation, specifically addressing the unique changes that occur after bariatric surgery; discuss the role of prophylactic cholecystectomy and other management strategies of gallbladder disease; and, finally, address the systems-based challenges in the work-up and management of biliary problems after bariatric surgery.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Minnesota, 420 Delaware Street SE, MMC 195, Minneapolis, MN, 55455, USA

    Rohini Khatri MD

  2. Department of Surgery, University of Minnesota Medical School, 420 Delaware Street SE, MMC 290, Minneapolis, MN, 55455, USA

    Sayeed Ikramuddin MD

  3. Division of Gastrointestinal Surgery, University of Minnesota, 420 Delaware Street SE, Mayo Mail Code 290, Minneapolis, MN, 55455, USA

    Daniel Leslie MD

Authors
  1. Rohini Khatri MD
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  2. Sayeed Ikramuddin MD
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  3. Daniel Leslie MD
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Corresponding author

Correspondence to Rohini Khatri MD .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA

    Ninh T. Nguyen

  2. Scottsdale Bariatric Center, Scottsdale, Arizona, USA

    Robin P. Blackstone

  3. Section of Bariatric and Minimally Invasive (BMI) Surgery, Stanford School of Medicine, Stanford, California, USA

    John M. Morton

  4. Bariatric Surgery, Hamilton Medical Center, Dalton, Georgia, USA

    Jaime Ponce

  5. Professor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute Cleveland Clinic, Weston, Florida, USA

    Raul J. Rosenthal

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Khatri, R., Ikramuddin, S., Leslie, D. (2015). Management of the Gallbladder Before and After Bariatric Surgery. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_32

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  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_32

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

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