Surgery for Obesity and Related Diseases
Volume 3, Issue 5 , Pages 549-553 , September 2007

Routine cholecystectomy during laparoscopic biliopancreatic diversion with duodenal switch is not necessary

Presented in the Plenary Session of the 21st Annual Meeting of the American Society for Bariatric Surgery, San Diego, California, June 12–18, 2004

  • Sergio Jose Bardaro, M.D.

      Affiliations

    • New York-Presbyterian Hospital, New York, New York
    • Weill Medical College of Cornell University, New York, New York
    • ,
  • Michel Gagner, M.D., F.A.C.S., F.R.C.S.C.

      Affiliations

    • New York-Presbyterian Hospital, New York, New York
    • Weill Medical College of Cornell University, New York, New York
    • Corresponding Author InformationReprint requests: Michel Gagner, M.D., F.A.C.S., F.R.C.S.C., Department of Surgery, Division of Laparoscopic and Bariatric Surgery, New York Presbyterian Hospital, Weill Medical College of Cornell University, 525 East 68th Street, Mailbox 294, New York, NY 10021.
    • ,
  • Esther Consten, M.D.

      Affiliations

    • New York-Presbyterian Hospital, New York, New York
    • Weill Medical College of Cornell University, New York, New York
    • ,
  • William Barry Inabnet, M.D.

      Affiliations

    • New York-Presbyterian Hospital, New York, New York
    • Columbia University College of Physicians and Surgeons, New York, New York
    • ,
  • Daniel Herron, M.D.

      Affiliations

    • Mount Sinai School of Medicine, New York, New York
    • ,
  • Gregory Dakin, M.D.

      Affiliations

    • New York-Presbyterian Hospital, New York, New York
    • Weill Medical College of Cornell University, New York, New York
    • ,
  • Alfons Pomp, M.D., F.A.C.S., F.R.C.S.C.

      Affiliations

    • New York-Presbyterian Hospital, New York, New York
    • Weill Medical College of Cornell University, New York, New York

Received 12 July 2006 ,Revised 9 May 2007 ,Accepted 12 May 2007.

References 

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  2. Shiffman ML, Sugerman HJ, Kellum JM, Brewer WH, Moore EW. Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity. Am J Gastroenterol. 1991;86:1000–1005
  3. Wattchow DA, Hall JC, Whiting MJ, Bradley B, Iannos J, Watts JM. Prevalence and treatment of gall stones after gastric bypass surgery for morbid obesity. BMJ (Clin Res Ed). 1983;286:763
  4. Wudel LJ, Wright JK, Debelak JP, Allos TM, Shyr Y, Chapman WC. Prevention of gallstone formation in morbidly obese patients undergoing rapid weight loss: results of a randomized controlled pilot study. J Surg Res. 2002;102:50–56
  5. Sugerman HJ, Brewer WH, Shiffman M, et al. A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodeoxycholic acid for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss. Am J Surg. 1995;169:91–97
  6. Amaral JF, Thompson WR. Gallbladder disease in the morbidly obese. Am J Surg. 1985;149:551–557
  7. Hamad GG, Ikramuddin S, Gourash WF, Schauer PR. Elective cholecystectomy during laparoscopic Roux-en-Y gastric bypass: is it worth the wait?. Obes Surg. 2003;13:76–81
  8. Villegas L, Schneider B, Provost D, et al. Is routine cholecystectomy required during laparoscopic gastric bypass?. Obes Surg. 2004;14:206–211
  9. Marinari GM, Murelli F, Camerini G, et al. A 15-year evaluation of biliopancreatic diversion according to the Bariatric Analysis Reporting Outcome System (BAROS). Obes Surg. 2004;14:325–328
  10. Scopinaro N, Marinari GM, Camerini G. Laparoscopic standard biliopancreatic diversion: technique and preliminary results. Obes Surg. 2002;12:362–365
  11. Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10:514–523
  12. Scopinaro N, Gianetta E, Civalleri D, Bonalumi U, Bachi V. Two years’ experience with bilio-pancreatic bypass. Am J Clin Nutr. 1980;33:506–514
  13. Mason EE, Renquist KE. Gallbladder management in obesity surgery. Obes Surg. 2002;12:222–229
  14. Paiva D, Bernardes L, Suretti L. Laparoscopic biliopancreatic diversion: technique and initial results. Obes Surg. 2002;12:358–361
  15. Ammori BJ, Vezakis A, Davides D, Martin IG, Larvin M, McMahon MJ. Laparoscopic cholecystectomy in morbidly obese patients. Surg Endosc. 2001;15:1336–1339
  16. Sperlongano P, Pisaniello D, Parmeggiani D, De Falco M, Agresti M, Parmeggiani U. Laparoscopic cholecystectomy in the morbidly obese. Chir Ital. 2002;54:363–366
  17. Deitel M, Petrov I. Incidence of symptomatic gallstones after bariatric operations. Surg Gynecol Obstet. 1987;164:549–552
  18. Iglezias Brandao de Oliveira C, Chaim EA, Borges da Silva B. Impact of rapid weight reduction on risk of cholelithiasis after bariatric surgery. Obes Surg. 2003;13:625–628
  19. Oria HE. Pitfalls in the diagnosis of gallbladder disease in clinically severe obesity. Obes Surg. 2004;8:444–451
  20. Bajardi G, Ricevuto G, Mastrandrea G, et al. Prophylactic cholecystectomy in bariatric surgery. Minerva Chir. 1993;48:277–279
  21. Herbst CA, Mittelstaedt CA, Staab EV, Buckwalter JA. Intraoperative ultrasonography evaluation of the gallbladder in morbidly obese patients. Ann Surg. 1984;200:691–692
  22. Worobetz LJ, Inglis FG, Shaffer EA. The effect of ursodeoxycholic acid therapy on gallstone formation in the morbidly obese during rapid weight loss. Am J Gastroenterol. 1993;88:1705–1710
  23. Shiffman ML, Vickers FF, Stifler LTP, et al. A multicenter, double-blind, placebo controlled trial of ursodeoxycholic acid (urso) for prevention of gallstone (GS) formation in obese patients during very low calorie (VLC) dietary induced weight reduction. Gastroenterology. 1994;106:982

 This study was funded by the Cornell Weight Loss Surgery Program at the New York Presbyterian Hospital–Weill Medical College of Cornell University

PII: S1550-7289(07)00499-6

doi: 10.1016/j.soard.2007.05.007

Surgery for Obesity and Related Diseases
Volume 3, Issue 5 , Pages 549-553 , September 2007

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