Routine preoperative ultrasonography and selective cholecystectomy in laparoscopic Roux-en-Y gastric bypass.: Why not?

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dc.contributor.authorEscalona, Alex
dc.contributor.authorBoza, Camilo
dc.contributor.authorMunoz, Rodrigo
dc.contributor.authorPerez, Gustavo
dc.contributor.authorRayo, Sabina
dc.contributor.authorCrovari, Fernando
dc.contributor.authorIbanez, Luis
dc.contributor.authorGuzman, Sergio
dc.date.accessioned2025-01-21T01:05:12Z
dc.date.available2025-01-21T01:05:12Z
dc.date.issued2008
dc.description.abstractBackground Preoperative evaluation and treatment of biliary lithiasis in morbid obese patients who are candidates to bariatric surgery raise a series of questions which to date has no clear consensus. The aim of this study was to evaluate the results of routine preoperative abdominal ultrasonography and selective cholecystectomy comparing patients who underwent laparoscopic Roux-en-Y gastric bypass (RYGBP) with and without simultaneous cholecystectomy.
dc.description.abstractMethods The prospective database of all the patients who underwent laparoscopic RYGBP in our institution was reviewed. The demographic characteristics, comorbidities, operative time, hospital stay, and postoperative complications were analyzed.
dc.description.abstractResults From August 2001 to December 2006, 1,311 patients underwent laparoscopic RYGBP, 137 (10.4%) of them were excluded due to previous cholecystectomy. In 128 (10.9%) of the remaining 1,174 patients, a cholecystectomy associated to laparoscopic RYGBP was performed. The mean age was 38.5 +/- 10.1 years, and 106 (82.8%) were women. The mean operative time in patients with and without simultaneous cholecystectomy was 129.8 +/- 45 and 108.5 +/- 43 min, respectively (p<0.001). The hospital stay was 3.6 +/- 0.8 days in patients with simultaneous cholecystectomy and 4 3 days in patients without simultaneous cholecystectomy (p=0.003). There were no deaths.
dc.description.abstractPostoperative complications were observed in 9 (7%) and 73 (6.9%) patients with and without simultaneous cholecystectomy respectively (p=NS). Postoperative complications were not related to the cholecystectomy.
dc.description.abstractConclusion Cholecystectomy associated to laparoscopic RYGBP should be considered in all patients with preoperative ultrasound diagnosis of cholelithiasis.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s11695-007-9262-4
dc.identifier.eissn1708-0428
dc.identifier.issn0960-8923
dc.identifier.urihttps://doi.org/10.1007/s11695-007-9262-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/95856
dc.identifier.wosidWOS:000252970200009
dc.issue.numero1
dc.language.isoen
dc.pagina.final51
dc.pagina.inicio47
dc.revistaObesity surgery
dc.rightsacceso restringido
dc.subjectmorbid obesity
dc.subjectgastric bypass
dc.subjectcholecystectomy
dc.subjectgallstones
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleRoutine preoperative ultrasonography and selective cholecystectomy in laparoscopic Roux-en-Y gastric bypass.: Why not?
dc.typeartículo
dc.volumen18
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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