Gall bladder stone formation in the postoperative first year after sleeve gastrectomy

Özet

Introduction: This study aims to evaluate the incidence of cholelithiasis formation in the postoperative firstyear of patients who underwent laparoscopic sleeve gastrectomy.Materials and Methods: The first 100 consecutive patients operated for morbid obesity between January2016 and January 2017 by the same surgeon were retrospectively evaluated. One patient who underwentlaparoscopic mini-gastric bypass and seven patients who had previously undergone cholecystectomy orunderwent concomitant cholecystectomy were excluded from this study, and 92 patients who underwentsleeve gastrectomy were included. Demographic data (age, sex), changes in body mass index (BMI), newcholelithiasis formation in the postoperative period, in preoperative period presence of diabetes mellitus(DM) and helicobacter like organism (HLO) positivity were examined. Student’s t-test or Mann-Whitney Utest was used to compare numerical data, and the chi-square test was used to evaluate categorical data.Results: The preoperative mean age of patients was 36.16±9.8 (18–58) years and mean BMI was 45.09±4.96(37–67.1) kg/m2. Male/Female rate was 15/77.There is no statistically significant difference between postoperative cholelithiasis formation and gender (p>0.05). There is no statistically significance between postoperative cholelithiasis formation and preoperative DM presence (p>0.05). There is statistically significancebetween postoperative cholelithiasis formation and preoperative HLO positivity (p 0.05).Conclusion: The formation of cholelithiasis is an important complication of bariatric surgery, but quickweight loss does not have an effect on cholelithiasis. Cholesistectomy should not be performed until symptomatic cholelithiasis. Preoperative HLO eradication can diminish the formation of the cholelithiasis.