Population-based study of the need for cholecystectomy after obesity surgery
British Journal of Surgery,

Ostlund MP et al. – An increased need for cholecystectomy after obesity surgery was confirmed, but was probably partly due to an increased detection of gallbladder disease only because of the surgery; the individual's risk of imperative cholecystectomy was low. Therefore, prophylactic cholecystectomy might not be recommended during obesity surgery.

  • A Swedish nationwide, population–based cohort study was conducted during the 22–year interval 1987–2008.
  • Need for later cholecystectomy for gallstone disease was assessed in patients who had undergone obesity surgery in comparison with the general population of corresponding age, sex and calendar year.
  • This need was also compared with the need for cholecystectomy in cohorts of patients who had undergone antireflux surgery and appendicectomy.
  • Standardized incidence ratios (SIRs) with 95 per cent confidence intervals (c.i.) were calculated to estimate the relative risk.

  • In the obesity surgery cohort of 13 443 patients, the observed number of cholecystectomies (1149, 8•5 per cent) exceeded the expected number by over fivefold (SIR 5•5, 95 per cent c.i. 5•1 to 5•8).
  • The observed need for imperative cholecystectomy (for cholecystitis, cholangitis, pancreatitis, or jaundice; 427, 3•2 per cent) was also greater than expected (SIR 5•2, 4•7 to 5•7).
  • The SIR peaked 7–24 months after obesity surgery and decreased with longer follow–up.
  • The SIRs for cholecystectomy after antireflux surgery and appendicectomy were 2•4 (2•2 to 2•6) and 1•7 (1•6 to 1•7) respectively.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Surgery

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Surgery Articles

1 A novel endoscopic weight loss therapy using gastric aspiration: results after 6 months Endoscopy, October 7, 2014    Clinical Article

2 Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass: A single center experience with 2 years follow-up Obesity Surgery, August 8, 2014    Clinical Article

3 Abdominoplasty and seroma - A prospective randomised study comparing scalpel and handheld electrocautery dissection Journal of Plastic, Reconstructive & Aesthetic Surgery, October 29, 2014    Clinical Article

4 Hartmanns procedure vs loop colostomy in the treatment of obstructive rectosigmoid cancer Full Text World Journal of Emergency Surgery, October 21, 2014    Free full text    Clinical Article

5 Laparoscopic versus open resection for transverse colon cancer Surgical Endoscopy, October 16, 2014    Clinical Article

6 Gastric cancer following bariatric surgery: a review Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, October 10, 2014    Review Article

7 Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared to laparoscopic Roux-en-Y gastric bypass? A meta-analysis The American Journal of Surgery, October 27, 2014    Evidence Based Medicine    Review Article

8 Bariatric postoperative fistula: a life-saving endoscopic procedure Surgical Endoscopy, October 14, 2014    Clinical Article

9 Sugammadex reduces postoperative pain after laparoscopic bariatric surgery: A randomized trial Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, October 6, 2014    Clinical Article

10 Gastric leaks post sleeve gastrectomy: Review of its prevention and management Full Text World Journal of Gastroenterology, October 17, 2014    Free full text    Review Article

11 Noninvasive body contouring: biological and aesthetic effects of low-frequency, low-intensity ultrasound device Aesthetic Plastic Surgery, September 12, 2014    Clinical Article

12 Clinical efficacy of bariatric surgery versus liraglutide in patients with type 2 diabetes and severe obesity: a 12-month retrospective evaluation Acta Diabetologica, September 15, 2014    Clinical Article

13 Retrospective analysis of never events in panniculectomy and abdominoplasty patients and their financial implications Annals of Plastic Surgery, September 17, 2014    Review Article

14 Long intestinal tube splinting really prevent recurrence of postoperative adhesive small bowel obstruction? A study of 1071 cases The American Journal of Surgery, July 23, 2014    Clinical Article

15 Gastrointestinal metabolic surgery for the treatment of type 2 diabetes mellitus Full Text World Journal of Gastroenterology, October 23, 2014    Free full text    Clinical Article

16 Intra-abdominal sepsis; epidemiology, aetiology and management Seminars in Pediatric Surgery, October 2, 2014    Clinical Article

17 Kidney stone risk following Roux-en-Y gastric bypass surgery Full Text Translational Andrology and Urology, October 1, 2014    Free full text    Review Article

18 Maximal debulking liver resection as a beneficial treatment strategy for advanced and aggressive colorectal liver metastases Anticancer Research, October 22, 2014    Clinical Article

19 Endoscopic endonasal transsphenoidal surgery of 1,166 pituitary adenomas Surgical Endoscopy, October 8, 2014    Clinical Article

20 Mesh repair versus non-mesh repair for strangulated inguinal hernia: Systematic review with meta-analysis World Journal of Surgery, October 14, 2014    Evidence Based Medicine    Review Article

Indexed Journals in Surgery: Surgery, Journal of the American College of Surgeons, Annals of Surgerymore