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Elective cholecystectomy after Roux-en-Y gastric bypass: why should asymptomatic gallstones be treated differently in morbidly obese patients?

April 26, 2017asymptomatic bypass cholecystectomy elective gallstones Gastric morbidly roux-en-y treated

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Elective cholecystectomy after Roux-en-Y gastric bypass: why should asymptomatic gallstones be treated differently in morbidly obese patients?

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Author(s): Swartz DE, Felix EL Affiliation(s): Advanced Bariatric Centers and the California Institute of Minimally Invasive Surgery, Fresno, California, 93710, USA. deswartzmd@aol.com Publication date & source: 2005-11, Surg Obes Relat Dis., 1(6):555-60. Epub 2005 Sep 28. Publication type: BACKGROUND: Gallbladder management in bariatric surgery varies. Some surgeons perform routine cholecystectomy with bariatric surgery, and others selectively base that decision on routine preoperative ultrasound findings. Both approaches treat bariatric patients differently than the normal-weight population in whom cholecystectomy is not performed in asymptomatic patients. We hypothesized that it is possible to apply the commonly used indications for cholecystectomy in the nonobese population safely to a Roux-en-Y gastric bypass cohort. METHODS: Data were collected prospectively and retrospectively on consecutive patients at our center undergoing Roux-en-Y gastric bypass from April 1, 2003 to March 3