Evaluation of the Association of Bariatric Surgery with Development of Cholelithiasis

Fahad Obaid Al-Namshah4, Sarah Mohamed Sayed5, Wejdan Abdulmoniem Alsumaien6,, Sultan Abdullah Bin Jerais1, Rana Mohammed Ahmad 1, Mohammad Ibrhim Taleb2, Raad Jamaan Al-Ghamdi3,; Ashwaq Musaed AL-Mutairi8, Marram Jaber Al Haider6, Ahmed Tabaan Alenezi7,

doi:10.21608/ejhm.2018.9074

Evaluation of the Association of Bariatric Surgery with Development of Cholelithiasis

Document Type : Original Article

Authors

Sultan Abdullah Bin Jerais1, Rana Mohammed Ahmad 1, Mohammad Ibrhim Taleb2, Raad Jamaan Al-Ghamdi3, Fahad Obaid Al-Namshah4, Sarah Mohamed Sayed5, Wejdan Abdulmoniem Alsumaien6, ¹
Marram Jaber Al Haider6, Ahmed Tabaan Alenezi7, Ashwaq Musaed AL-Mutairi8 ²

¹ 1- Al-Maarefa Colleges, 2- Sulaiman Al-Rajhi Colleges, 3- Al-Baha University, 4- King Khalid University, 5-Ibn Sina National College, 6-Najran University,

² 6-Najran University, 7- King Faisal Specialized Hospital & Research Center, 8- Unaizah College of Medicine

10.21608/ejhm.2018.9074

Abstract

Background: Significant research papers have been 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 aimed at measuring the association of rapid weight loss with the development of gallbladder stones and identifying 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 were 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 loss as well as 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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