Bariatric Surgery Information
Cholecystectomy During Laparoscopic Roux-en-Y Gastric Bypass

About Gallstones Prevention

Obesity Surgery Operations - Research Into Obesity Surgery

Elective Cholecystectomy During Laparoscopic Roux-en-Y Gastric Bypass - Is it Worth the Wait?

Combined gastric bypass and cholecystectomy have been advocated for open bariatric procedures. Our goal was to evaluate the safety of this technique in laparoscopic bariatric surgery patients with gallstones diagnosed preoperatively.

Methods

94 out of 556 consecutive morbidly obese patients (16.9%) underwent laparoscopic gastric bypass with simultaneous cholecystectomy (laparoscopic gastric bypass /LC) for cholelithiasis.

Results

328 patients (59%) had a concomitant secondary procedure, most commonly cholecystectomy (28.7%). Preoperative BMI was 48.6 +/- 6.9 kg/m2 for laparoscopic gastric bypass /LC patients and 48.8 +/- 7.3 kg/m2 for laparoscopic gastric bypass alone. 5 patients had preoperative biliary colic; the others were asymptomatic for cholelithiasis. Postoperatively, at a mean follow-up of 7.6 +/- 6.7 months, the percent excess weight loss (%EWL) was 46.1 +/- 0.25 for the combined procedure vs 50.2 +/- 63.0 for LGBP alone. There were no conversions to open procedures for the LC. Port placement for the LGBP was not altered for LC. None required intraoperative cholangiography. Operative time for the combined procedure was 293.4 +/- 79.8 minutes vs 244.8 +/- 77.2 minutes for laparoscopic gastric bypass alone. Length of stay for the combined procedure was 4.35 +/- 10.8 days vs 2.69 +/- 1.8 days for laparoscopic gastric bypass alone. There were no postoperative bile leaks or bile duct injuries.

Conclusion

Concomitant laparoscopic gastric bypass /LC is safe and feasible without altering port placement. Combining these procedures significantly increases operative time and nearly doubles the hospital stay.

Source:
Hamad GG, Ikramuddin S, Gourash WF, Schauer PR. Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Bariatric Surgery

After Jejunoileal Bypass - Binge Eating Bypass Patients - Bariatric Surgery Adolescents - Bypass After Failed Banding Operation - Bypass Diet Exercise - Bypass Super-Obese Patients - Energy Expenditure Bypass - Energy Intake Weight Loss Bypass - Isolated Pouch Terminal Anastomosis - Jejunoileal Bypass Obesity - Gastric Bypass Sleep Apnea - Respiratory Failure Gastric Bypass - Roux Limb Length - Anastomosis Stricture Bypass - Adjustable Gastric Banding Follow-Up - Adjustable Silicone Gastric Banding - Esophagogastric Banding - Heliogast Band - Lap-Band System United States - Body Fluid Gastric Banding - Lap-band Experience - Lap-Band Failure - Lap Band Gastric Banding Italy - Lap-Band System - Low-Pressure Gastric Band - Magenstrasse Gastroplasty - Minimal Invasive Gastric Banding - Morbid Obesity Probnp levels - Non-Adjustable Gastric Banding - Swedish Adjustable Gastric Banding - Lap-Band Surgery Sweet-Eating - Visceral Obesity Banding - Central Obesity Adverse Effects - Laparoscopic Duodenal Switch - Gastric Bypass Obese Adolescents - Laparoscopic Adjustable Gastric Banding Adolescents - Radiology Laparoscopic Adjustable Gastric Banding - Laparoscopic Roux-en-Y Gastric Bypass - Laparoscopic Gastric Bypass Versus Banding - Laparoscopic Duodenal Switch - Review Laparoscopic Gastric Banding - Laparoscopic Gastric Bypass Study - Results Laparoscopic Lap-Band Bariatric Surgery - Laparoscopic Silicone Banding - Laparoscopic Surgical Procedures - Laparoscopic Versus Open Bypass - Linear Gastroenterostomy - Posterior Rectus Sheath - Repair Ventral Hernias Bypass - Results Laparoscopic Banding - Review Lap Banding Results - Roux-en-Y Gastric Bypass Hospital - Roux-en-Y Gastric Bypass Recalcitrant Gerd - Stapled Gastrojejunal Anastomosis - Access-Port Complications - Acylation-Stimulating Protein - Anastomotic Stricture Complication - Band Leakage After Gastric Banding - Lipid Profile Biliopancreatic Bypass - Body Composition After Bypass - Body Composition Gastric Banding - Cholecystectomy Combined Bypass - Comorbidities After Lap Band Surgery - Diabetes Hypertension Gastric Bypass - Weight Loss Obese Diabetics - Bariatric Surgery Diabetes Obese - Effects Adjustable Gastric Banding - Fat Soluble Vitamin Deficiency - Gastric Band Infection - Bone Metabolism Gastric Banding - Gastric Banding Crural Repair - Gastric Banding Renal Disease - Bypass Surgery Ghrelin Leptin - Gastric Bypass Surgery Ghrelin Levels - Bypass Surgery Immunity Effects - LAGB Two-Step Technique - LAGB Weight Health - Effect Of Laparoscopic Bypass Diabetes - Laparoscopic Heliogast Band - Laparoscopic Revisional Surgery - Gastrointestinal Symptoms After Bypass Surgery - Post-Operative Band Management - Pouch Dilation Slippage - Prophylactic Cholecystectomy - Radiological Examination Lap-Band - Reoperative Sleeve Gastrectomy - Safety of Duodenal Switch Bypass - Silicone Gastric Banding - Quality of Life After Gastric Bypass - Gastric Banding Outcomes - Health-Related Gastric Bypass - Preoperative Gastric Band Therapy - Psychological Effects After Gastric Banding - Psychosocial Outcomes Bypass Surgery - Counseling Support After Gastric Banding - Abdominoplasty Dermolipectomy - Fleur-de-Lys Abdominoplasty - Autologous Breast Augmentation - Breast Enlargement Liposuction

BARIATRIC & GASTRIC SURGERY INFORMATION

What Is Weight Loss Surgery | Gastric Surgery - How to Qualify | Types Of Weight Loss Surgery | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery | Success Rates | Health Benefits | Complications | Weight Loss Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass | Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Biliopancreatic Risks | Duodenal Switch Bypass | Duodenal Switch Details | Duodenal Switch Benefits/ Duodenal Switch Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Gastric Bypass Risks | Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Fobi Pouch Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers | Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details | Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling | Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment | Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Weight Loss Surgery Statistics | Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Weight Loss Surgery Health Complications | Nutrition after Bypass | Weight Loss Surgery Psychosocial Factors | Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | Plastic Surgery After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy | Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Plastic Surgery Information | Cosmetic Surgery | Lipoplasty | Liposuction Types | Health Risks of Liposuction | Tumescent Method | Liposuction Butt | Liposuction Inner Thighs | Liposuction Front Thighs | Cost of Liposuction | Information About Lipoplasty


Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources