The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery
Yıl: 2021 Cilt: 59 Sayı: 1 Sayfa Aralığı: 80 - 84 Metin Dili: İngilizce DOI: 10.4274/haseki.galenos.2021.6716 İndeks Tarihi: 19-06-2021
The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery
Öz: Aim: Obesity has become a rapidly increasing public health problem all over the world. Obesity itself is a risk factor for cholelithiasis, and the fast weight loss period after bariatric surgery is a situation that increases this risk. The fact that both obesity and surgical treatment of obesity increases the formation of stones in the gall bladder has made it even defendible that cholecystectomy should be performed routinely during the bariatric surgery at one stage, even if there is no cholelithiasis. In this study, we aimed to evaluate our gallbladder approach in patients who were decided to undergo bariatric surgery in our center, together with the literature reviews.Methods: In our study, the data of 185 patients who underwent bariatric surgery due to obesity in the University of Health Sciences Kanuni Sultan Suleyman the in Istanbul Training and Research Hospital Clinic of, Department of General Surgery, between 2018 and 2020 were retrospectively obtained. A total of 185 patients were included in the study. The patients were divided into group 1 (sleeve gastrectomy) and Group 2 (gastric bypass) according to their operation techniques.Results: The average age was 36.43 ± 9.52, the ratio of women/men was 151 (81.6%)/34 (18.4%). Mean body mass index (BMI) was determined as 44.16±5.09. In the postoperative period, gallstones were formed in 27 (14.6%) patients, whereas gallstones were not detected in 158 (85.4%) patients. There was no significant difference between the groups in terms of postoperative gallstone formation.Conclusion: In the light of the literature and after our clinical experience, we do not require routine imaging of the gallbladder before bariatric surgery in asymptomatic patients, and we recommend performing concomitant cholecystectomy only in symptomatic patients.
Anahtar Kelime: Bariatrik Cerrahiye Kabul Edilen Hastalarda Safra Kesesinin Kaderi
Öz: maç: Obezite, tüm dünyada hızla artan bir toplum sağlığı problemi haline gelmiştir. Obezitenin kendisi safra kesesi taşı oluşumu için bir risk faktörü olup, bariatrik cerrahi sonrası hızlı kilo verme dönemi de bu riski artıran bir durumdur. Hem obezitenin hem de obezitenin cerrahi tedavisinin safra kesesinde taş oluşumunu artırması, bariatrik cerrahi sırasında kesede taş olmasa bile kolesistektominin de rutin olarak yapılması gerektiğini bir dönem savunulur hale getirmiştir. Biz bu çalışmamızda merkezimizde bariatrik cerrahi kararı verilen hastalarda safra kesesi yaklaşımımızı literatür değerlendirmeleri ile beraber ele almayı amaçladık.Yöntemler: Çalışmamızda 2018-2020 yılları arasında İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği’nde obezite nedeni ile bariatrik cerrahi operasyonu geçiren toplan 185 hastanın bilgileri retrospektif olarak değerlendirildi. Çalışmaya toplam 185 hasta dahil edildi. Hastalar operasyon tekniklerine göre grup 1 (sleeve gastrektomi) ve grup 2 (gastrik bypass) olacak şekilde ayrıldı. Bulgular: Yaş ortalaması 36,43±9,52 yıl, kadın/erkek oranı ise 151 (%81,6)/34 (%18,4) idi. Ortalama vücut kitle indeksi (VKİ) 44,16±5,09 olarak tespit edildi. Postoperatif dönemde 27 (%14,6) hastada safra kesesi taşı oluşurken, 158 (%85,4) hastada safra kesesinde taş tespit edilmedi. Gruplar arasında postoperatif safra kesesi taşı oluşumu açısından anlamlı fark yoktu. Sonuç: Literatür ışığında ve klinik tecrübelerimiz sonrası, bariatrik cerrahi öncesi safra kesesi görüntülemesinin asemptomatik hastalarda rutin yapılmasını gerek görmemekte, sadece semptomatik hastalarda eşzamanlı kolesistektomi yapılmasını önermekteyiz.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | KIZILKAYA M, YILMAZ S (2021). The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. , 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| Chicago | KIZILKAYA Mehmet Celal,YILMAZ SERHAN The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. (2021): 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| MLA | KIZILKAYA Mehmet Celal,YILMAZ SERHAN The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. , 2021, ss.80 - 84. 10.4274/haseki.galenos.2021.6716 |
| AMA | KIZILKAYA M,YILMAZ S The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. . 2021; 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| Vancouver | KIZILKAYA M,YILMAZ S The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. . 2021; 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| IEEE | KIZILKAYA M,YILMAZ S "The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery." , ss.80 - 84, 2021. 10.4274/haseki.galenos.2021.6716 |
| ISNAD | KIZILKAYA, Mehmet Celal - YILMAZ, SERHAN. "The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery". (2021), 80-84. https://doi.org/10.4274/haseki.galenos.2021.6716 |
| APA | KIZILKAYA M, YILMAZ S (2021). The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. Haseki Tıp Bülteni, 59(1), 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| Chicago | KIZILKAYA Mehmet Celal,YILMAZ SERHAN The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. Haseki Tıp Bülteni 59, no.1 (2021): 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| MLA | KIZILKAYA Mehmet Celal,YILMAZ SERHAN The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. Haseki Tıp Bülteni, vol.59, no.1, 2021, ss.80 - 84. 10.4274/haseki.galenos.2021.6716 |
| AMA | KIZILKAYA M,YILMAZ S The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. Haseki Tıp Bülteni. 2021; 59(1): 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| Vancouver | KIZILKAYA M,YILMAZ S The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery. Haseki Tıp Bülteni. 2021; 59(1): 80 - 84. 10.4274/haseki.galenos.2021.6716 |
| IEEE | KIZILKAYA M,YILMAZ S "The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery." Haseki Tıp Bülteni, 59, ss.80 - 84, 2021. 10.4274/haseki.galenos.2021.6716 |
| ISNAD | KIZILKAYA, Mehmet Celal - YILMAZ, SERHAN. "The Fate of the Gallbladder in Patients Admitted to Bariatric Surgery". Haseki Tıp Bülteni 59/1 (2021), 80-84. https://doi.org/10.4274/haseki.galenos.2021.6716 |
