Safety of concomitant cholecystectomy during one anastomosis gastric bypass compared with sleeve gastrectomy and Roux-en-Y gastric bypass
Candidates of metabolic and bariatric surgery (MBS) are prone for gallstone formation. Concomitant cholecystectomy (CC) during MBS is controversial. This study is first to examine the safety of CC during one anastomosis gastric bypass (OAGB), compared with sleeve gastrectomy (SG) and Roux-en-Y gastr...
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| creator | Dayan, Danit Dvir, Nadav Nizri, Eran Abu-Abeid, Subhi Lahat, Guy Abu-Abeid, Adam |
| description | Candidates of metabolic and bariatric surgery (MBS) are prone for gallstone formation. Concomitant cholecystectomy (CC) during MBS is controversial. This study is first to examine the safety of CC during one anastomosis gastric bypass (OAGB), compared with sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). Single-center retrospective comparative study of CC (2012–2021) during OAGB, to SG and RYGB. CC was performed in 115 patients during OAGB (
n
= 50), SG (
n
= 39), and RYGB (
n
= 26). All procedures were completed laparoscopically. Baseline characteristics were similar except age, body mass index, gastroesophageal reflux disease, obstructive sleep apnea, and previous MBS (
p
|
| doi_str_mv | 10.1007/s13304-023-01463-1 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2777010000</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A743342176</galeid><sourcerecordid>A743342176</sourcerecordid><originalsourceid>FETCH-LOGICAL-c414t-d502dc7633e1659a3cdc1a08defe2ddecc730e734d2a651d4a2721f341e655623</originalsourceid><addsrcrecordid>eNp9kc9qFTEUxoNYbLntC7iQLN1MTXIyk95lKWqFguAf0FVIkzO3KTPJmGRq5xF8a3M7VxcuTCA5HL7v43B-hLzk7Jwzpt5kDsBkwwQ0jMsOGv6MnAgGFw0AF88PNQf-7Zic5XzP6oHt_n1BjqFTW9aBOCG_Ppsey0JjT20MNo6-mFCovYsD2iUXtCWOC3Vz8mFHY0Bqgsm1F7PPdFfL5C29XSaTc00YJ5PQ0Z--3NE8ID7gqjnEmODopzg_Nhia7_-4T8lRb4aMZ4d_Q76-e_vl6rq5-fj-w9XlTWMll6VxLRPOqg4AedduDVhnuWEXDnsUzqG1ChgqkE6YruVOGqEE70Fy7Nq2E7Ahr9fcKcUfM-aiR58tDoMJGOeshVKK8ad1bcj5Kt2ZAbUPfSzJ2Hodjr6uC3tf-5dKAkjB60wbIlaDTTHnhL2ekh9NWjRneo9Nr9h0xaafsGleTa8OA823I7q_lj-QqgBWQZ72FDDp-zinUJf0v9jfQxGlYA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2777010000</pqid></control><display><type>article</type><title>Safety of concomitant cholecystectomy during one anastomosis gastric bypass compared with sleeve gastrectomy and Roux-en-Y gastric bypass</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Dayan, Danit ; Dvir, Nadav ; Nizri, Eran ; Abu-Abeid, Subhi ; Lahat, Guy ; Abu-Abeid, Adam</creator><creatorcontrib>Dayan, Danit ; Dvir, Nadav ; Nizri, Eran ; Abu-Abeid, Subhi ; Lahat, Guy ; Abu-Abeid, Adam</creatorcontrib><description>Candidates of metabolic and bariatric surgery (MBS) are prone for gallstone formation. Concomitant cholecystectomy (CC) during MBS is controversial. This study is first to examine the safety of CC during one anastomosis gastric bypass (OAGB), compared with sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). Single-center retrospective comparative study of CC (2012–2021) during OAGB, to SG and RYGB. CC was performed in 115 patients during OAGB (
n
= 50), SG (
n
= 39), and RYGB (
n
= 26). All procedures were completed laparoscopically. Baseline characteristics were similar except age, body mass index, gastroesophageal reflux disease, obstructive sleep apnea, and previous MBS (
p
< 0.05). Intraoperative complications occurred in one OAGB patient (2% vs. 0%, 0%;
p
= 0.52), which was not cholecystectomy related. There were no differences in total (6% vs. 2.6%, 15.4%;
p
= 0.13) and major (2% vs. 0%, 3.8;
p
= 0.50) early-complication rates. Of them, cholecystectomy-related complications occurred in one OAGB, compared with none of SG and one RYGB (2% vs. 0%, 3.8%;
p
= 0.50). The former was major, and the latter was minor complication. None of the OAGB patients needed re-admission (0% vs. 0%, 11.5;
p
= 0.04). All CC outcome parameters were similar between asymptomatic and symptomatic gallstones. Previous bariatric procedures were found to be a significant risk for major complications and readmissions (OR = 16.87,
p
= 0.019). CC during OAGB for gallstones seems safe, as in SG and RYGB. No cholecystectomy-related intraoperative complications occurred, and postoperative complication rates were low and acceptable. Outcomes for asymptomatic gallstones were similar to symptomatic ones, and we cautiously support CC in the presence of gallstones.</description><identifier>ISSN: 2038-131X</identifier><identifier>EISSN: 2038-3312</identifier><identifier>DOI: 10.1007/s13304-023-01463-1</identifier><identifier>PMID: 36790632</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Body mass index ; Comparative analysis ; Gallstones ; Gallstones - etiology ; Gallstones - surgery ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Gastric bypass ; Gastric Bypass - adverse effects ; Gastric Bypass - methods ; Gastroesophageal reflux ; Humans ; Medicine ; Medicine & Public Health ; Mortgage-backed securities ; Obesity, Morbid - surgery ; Original Article ; Retrospective Studies ; Sleep apnea syndromes ; Surgery ; Treatment Outcome ; Type 2 diabetes ; Weight Loss</subject><ispartof>Updates in Surgery, 2023-04, Vol.75 (3), p.671-678</ispartof><rights>Italian Society of Surgery (SIC) 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Italian Society of Surgery (SIC).</rights><rights>COPYRIGHT 2023 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-d502dc7633e1659a3cdc1a08defe2ddecc730e734d2a651d4a2721f341e655623</citedby><cites>FETCH-LOGICAL-c414t-d502dc7633e1659a3cdc1a08defe2ddecc730e734d2a651d4a2721f341e655623</cites><orcidid>0000-0002-4607-3462</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13304-023-01463-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13304-023-01463-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36790632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dayan, Danit</creatorcontrib><creatorcontrib>Dvir, Nadav</creatorcontrib><creatorcontrib>Nizri, Eran</creatorcontrib><creatorcontrib>Abu-Abeid, Subhi</creatorcontrib><creatorcontrib>Lahat, Guy</creatorcontrib><creatorcontrib>Abu-Abeid, Adam</creatorcontrib><title>Safety of concomitant cholecystectomy during one anastomosis gastric bypass compared with sleeve gastrectomy and Roux-en-Y gastric bypass</title><title>Updates in Surgery</title><addtitle>Updates Surg</addtitle><addtitle>Updates Surg</addtitle><description>Candidates of metabolic and bariatric surgery (MBS) are prone for gallstone formation. Concomitant cholecystectomy (CC) during MBS is controversial. This study is first to examine the safety of CC during one anastomosis gastric bypass (OAGB), compared with sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). Single-center retrospective comparative study of CC (2012–2021) during OAGB, to SG and RYGB. CC was performed in 115 patients during OAGB (
n
= 50), SG (
n
= 39), and RYGB (
n
= 26). All procedures were completed laparoscopically. Baseline characteristics were similar except age, body mass index, gastroesophageal reflux disease, obstructive sleep apnea, and previous MBS (
p
< 0.05). Intraoperative complications occurred in one OAGB patient (2% vs. 0%, 0%;
p
= 0.52), which was not cholecystectomy related. There were no differences in total (6% vs. 2.6%, 15.4%;
p
= 0.13) and major (2% vs. 0%, 3.8;
p
= 0.50) early-complication rates. Of them, cholecystectomy-related complications occurred in one OAGB, compared with none of SG and one RYGB (2% vs. 0%, 3.8%;
p
= 0.50). The former was major, and the latter was minor complication. None of the OAGB patients needed re-admission (0% vs. 0%, 11.5;
p
= 0.04). All CC outcome parameters were similar between asymptomatic and symptomatic gallstones. Previous bariatric procedures were found to be a significant risk for major complications and readmissions (OR = 16.87,
p
= 0.019). CC during OAGB for gallstones seems safe, as in SG and RYGB. No cholecystectomy-related intraoperative complications occurred, and postoperative complication rates were low and acceptable. Outcomes for asymptomatic gallstones were similar to symptomatic ones, and we cautiously support CC in the presence of gallstones.</description><subject>Body mass index</subject><subject>Comparative analysis</subject><subject>Gallstones</subject><subject>Gallstones - etiology</subject><subject>Gallstones - surgery</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Gastric bypass</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastric Bypass - methods</subject><subject>Gastroesophageal reflux</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortgage-backed securities</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Article</subject><subject>Retrospective Studies</subject><subject>Sleep apnea syndromes</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Type 2 diabetes</subject><subject>Weight Loss</subject><issn>2038-131X</issn><issn>2038-3312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9qFTEUxoNYbLntC7iQLN1MTXIyk95lKWqFguAf0FVIkzO3KTPJmGRq5xF8a3M7VxcuTCA5HL7v43B-hLzk7Jwzpt5kDsBkwwQ0jMsOGv6MnAgGFw0AF88PNQf-7Zic5XzP6oHt_n1BjqFTW9aBOCG_Ppsey0JjT20MNo6-mFCovYsD2iUXtCWOC3Vz8mFHY0Bqgsm1F7PPdFfL5C29XSaTc00YJ5PQ0Z--3NE8ID7gqjnEmODopzg_Nhia7_-4T8lRb4aMZ4d_Q76-e_vl6rq5-fj-w9XlTWMll6VxLRPOqg4AedduDVhnuWEXDnsUzqG1ChgqkE6YruVOGqEE70Fy7Nq2E7Ahr9fcKcUfM-aiR58tDoMJGOeshVKK8ad1bcj5Kt2ZAbUPfSzJ2Hodjr6uC3tf-5dKAkjB60wbIlaDTTHnhL2ekh9NWjRneo9Nr9h0xaafsGleTa8OA823I7q_lj-QqgBWQZ72FDDp-zinUJf0v9jfQxGlYA</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Dayan, Danit</creator><creator>Dvir, Nadav</creator><creator>Nizri, Eran</creator><creator>Abu-Abeid, Subhi</creator><creator>Lahat, Guy</creator><creator>Abu-Abeid, Adam</creator><general>Springer International Publishing</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4607-3462</orcidid></search><sort><creationdate>20230401</creationdate><title>Safety of concomitant cholecystectomy during one anastomosis gastric bypass compared with sleeve gastrectomy and Roux-en-Y gastric bypass</title><author>Dayan, Danit ; Dvir, Nadav ; Nizri, Eran ; Abu-Abeid, Subhi ; Lahat, Guy ; Abu-Abeid, Adam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-d502dc7633e1659a3cdc1a08defe2ddecc730e734d2a651d4a2721f341e655623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Body mass index</topic><topic>Comparative analysis</topic><topic>Gallstones</topic><topic>Gallstones - etiology</topic><topic>Gallstones - surgery</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastrectomy - methods</topic><topic>Gastric bypass</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastric Bypass - methods</topic><topic>Gastroesophageal reflux</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortgage-backed securities</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Sleep apnea syndromes</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Type 2 diabetes</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dayan, Danit</creatorcontrib><creatorcontrib>Dvir, Nadav</creatorcontrib><creatorcontrib>Nizri, Eran</creatorcontrib><creatorcontrib>Abu-Abeid, Subhi</creatorcontrib><creatorcontrib>Lahat, Guy</creatorcontrib><creatorcontrib>Abu-Abeid, Adam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><jtitle>Updates in Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dayan, Danit</au><au>Dvir, Nadav</au><au>Nizri, Eran</au><au>Abu-Abeid, Subhi</au><au>Lahat, Guy</au><au>Abu-Abeid, Adam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety of concomitant cholecystectomy during one anastomosis gastric bypass compared with sleeve gastrectomy and Roux-en-Y gastric bypass</atitle><jtitle>Updates in Surgery</jtitle><stitle>Updates Surg</stitle><addtitle>Updates Surg</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>75</volume><issue>3</issue><spage>671</spage><epage>678</epage><pages>671-678</pages><issn>2038-131X</issn><eissn>2038-3312</eissn><abstract>Candidates of metabolic and bariatric surgery (MBS) are prone for gallstone formation. Concomitant cholecystectomy (CC) during MBS is controversial. This study is first to examine the safety of CC during one anastomosis gastric bypass (OAGB), compared with sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). Single-center retrospective comparative study of CC (2012–2021) during OAGB, to SG and RYGB. CC was performed in 115 patients during OAGB (
n
= 50), SG (
n
= 39), and RYGB (
n
= 26). All procedures were completed laparoscopically. Baseline characteristics were similar except age, body mass index, gastroesophageal reflux disease, obstructive sleep apnea, and previous MBS (
p
< 0.05). Intraoperative complications occurred in one OAGB patient (2% vs. 0%, 0%;
p
= 0.52), which was not cholecystectomy related. There were no differences in total (6% vs. 2.6%, 15.4%;
p
= 0.13) and major (2% vs. 0%, 3.8;
p
= 0.50) early-complication rates. Of them, cholecystectomy-related complications occurred in one OAGB, compared with none of SG and one RYGB (2% vs. 0%, 3.8%;
p
= 0.50). The former was major, and the latter was minor complication. None of the OAGB patients needed re-admission (0% vs. 0%, 11.5;
p
= 0.04). All CC outcome parameters were similar between asymptomatic and symptomatic gallstones. Previous bariatric procedures were found to be a significant risk for major complications and readmissions (OR = 16.87,
p
= 0.019). CC during OAGB for gallstones seems safe, as in SG and RYGB. No cholecystectomy-related intraoperative complications occurred, and postoperative complication rates were low and acceptable. Outcomes for asymptomatic gallstones were similar to symptomatic ones, and we cautiously support CC in the presence of gallstones.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36790632</pmid><doi>10.1007/s13304-023-01463-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4607-3462</orcidid></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Body mass index Comparative analysis Gallstones Gallstones - etiology Gallstones - surgery Gastrectomy - adverse effects Gastrectomy - methods Gastric bypass Gastric Bypass - adverse effects Gastric Bypass - methods Gastroesophageal reflux Humans Medicine Medicine & Public Health Mortgage-backed securities Obesity, Morbid - surgery Original Article Retrospective Studies Sleep apnea syndromes Surgery Treatment Outcome Type 2 diabetes Weight Loss |
| title | Safety of concomitant cholecystectomy during one anastomosis gastric bypass compared with sleeve gastrectomy and Roux-en-Y gastric bypass |
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