Impact Of Rapid Weight Reduction On Risk Of Cholelithiasis After Bariatric Surgery.

dc.creatorIglézias Brandão de Oliveira, Carlos
dc.creatorAdami Chaim, Elinton
dc.creatorda Silva, Benedito Borges
dc.date2003-Aug
dc.date2015-11-27T12:52:23Z
dc.date2015-11-27T12:52:23Z
dc.date.accessioned2018-03-29T00:57:53Z
dc.date.available2018-03-29T00:57:53Z
dc.identifierObesity Surgery. v. 13, n. 4, p. 625-8, 2003-Aug.
dc.identifier0960-8923
dc.identifier10.1381/096089203322190862
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/12935366
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/195498
dc.identifier12935366
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1295731
dc.descriptionObesity alone and rapid weight loss induced by bariatric surgery are recognized risk factors for the development of cholelithiasis. The decision to perform prophylactic cholecystectomy at the time of bariatric operations remains controversial and at the surgeon's discretion. From June 1998 to April 2001, 103 patients underwent Roux-en-Y gastric bypass (RYGBP) in Hospital das Clinicas/Unicamp (SP). 88 of these 103 patients had their preoperative ultrasonography of gallbladder recovered. 19 of these 88 patients showed gallstones before RYGBP, and the remaining 69 did not have ultrasonographic evidence of cholelithiasis. 36 of these 69 patients were followed with ultrasonography during the 12 postoperative months. They were divided into 2 groups: those who formed gallstones (n=19) and those who did not (n=17), to evaluate the importance of sex, age, preoperative BMI, preoperative excess weight and postoperative percent excess weight loss as risk factors in the gallstone formation. Preoperative incidence of cholelithiasis in the 88 operated patients was 21.6% and postoperative incidence in the 36 patients followed by ultrasonograph was 52.8%. There was no statistical evidence that postoperative gallstone formation is associated significantly with the variables studied. This study confirms the high correlation between morbid obesity, rapid weight loss and gallbladder disease. Predictive risk factors for gallstone formation were not found.
dc.description13
dc.description625-8
dc.languageeng
dc.relationObesity Surgery
dc.relationObes Surg
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectAge Factors
dc.subjectAnastomosis, Roux-en-y
dc.subjectBody Mass Index
dc.subjectCholelithiasis
dc.subjectFemale
dc.subjectFollow-up Studies
dc.subjectGastric Bypass
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectObesity, Morbid
dc.subjectRetrospective Studies
dc.subjectRisk Factors
dc.subjectSex Factors
dc.subjectTime Factors
dc.subjectWeight Loss
dc.titleImpact Of Rapid Weight Reduction On Risk Of Cholelithiasis After Bariatric Surgery.
dc.typeArtículos de revistas


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