Gallbladder Removal Should Precede Bariatric Surgery

The main outcomes were complication rates, reoperation rates, and operation times.

The results revealed a higher aggregate complication risk when cholecystectomy was performed after RYGB, rather than before. In addition, a complication after the first procedure independently increased the complication risk of the following procedure, and there was an increased complication risk when cholecystectomy was performed at the same time as RYGB. Simultaneous cholecystectomy and RGYB also added an average 61.7 minutes to total duration of surgery. The study was published on October 18, 2017, in the British Journal of Surgery.

“For patients with obesity and symptomatic gallstone disease, the best strategy complication-wise is to perform cholecystectomy before gastric bypass,” concluded lead author Viktor Wanjura, MD, of the Örebro University department of surgery, and colleagues.

The RYGB procedure has been the gold standard for surgical weight loss intervention for many years. The procedure usually involves laparoscopic minimally invasive surgery to create a stomach pouch from the larger stomach body. A portion of the small intestine is then connected to the stomach pouch, leaving a small opening for food to travel. The result is a sensation of satiety or fullness after eating small meals.

Related Links:
Örebro University
Karolinska University Hospital