Risk of biliary complications in bariatric surgery

被引：24
作者：
Desbeaux, A. [1 ]
Hec, F. [1 ]
Andrieux, S. [1 ]
Fayard, A.
Bresson, R. [2 ]
Pruvot, M. -H.
Mulliez, E. [1 ]
机构：
[1] Ctr Hosp Arras, Unite Chirurg Viscerale Endocrinienne & Metab, F-62022 Arras, France
[2] Ctr Hosp Douai, Serv Endocrinol & Metab, F-59507 Douai, France
来源：
JOURNAL OF VISCERAL SURGERY | 2010年 / 147卷 / 04期
关键词：
Bariatric surgery; Gastroplasty; Gastric by-pass; Gallstones; Prevention; MORBIDLY OBESE-PATIENTS; GALLSTONE FORMATION; GASTRIC-BYPASS; URSODEOXYCHOLIC ACID; WEIGHT-LOSS; PROPHYLACTIC URSODIOL; DOUBLE-BLIND; CHOLECYSTECTOMY; PREVENTION; CHOLELITHIASIS;
D O I：
10.1016/j.jviscsurg.2010.08.001
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Gallstones are commonly observed after rapid weight loss, particularly after bariatric surgery. Preventive measures of gallstone formation and potential related complications are still debated. This study aimed to propose a standardized strategy according to the results of the literature. Thus, preventive measures should be determined according to patient status (evaluated clinically and by routine ultrasound) and the type of bariatric surgery. Cholecystectomy should be performed in patients with symptomatic gallstones irrespective of the planned operation, or for asymptomatic gallstones during a gastric by-pass. In other settings, ursodesoxycholic acid should be given postoperatively for 6 months. (c) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：E217 / E220
页数：4
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