Biliary Disorders in Morbidly Obese Patients Before and After Sleeve Gastrectomy | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 6, Volume 75, Issue 5, April 2019, Page 2775-2783 PDF (408.7 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.32976 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Essam El-Dien Abd El-Azim Zayed; Abd El-Hafez Abd EL-Aziz Selim; Mohamed Ahmed Suliman Abd El-Hafez 
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| Department of General Surgery, Faculty of Medicine - Al-Azhar University | ||||
| Abstract | ||||
| Background: Obesity is an increasingly serious public health problem on a global level. Morbid obesity is defined as a Body Mass Index (BMI) of 40 Kg/m2 or more or a BMI of 35 Kg/m2 or more with obesity related comorbidities. Morbid obesity is associated with an increased incidence of wide spectrum medical and surgical pathological problems. Objective: To clarify the relation between morbid obesity, rapid loss of weight after sleeve gastrectomy and gallstone formation and if there is a need for adding prophylactic cholecystectomy during sleeve gastrectomy to obtain the best possible results after surgery. Patients and Methods: A total number of 50 morbidly obese patients were included in the study from September 2018 to April 2019 (prospective study). All patients were treated at Surgery Department of Al-Azhar University Hospitals. Males and females were considered for inclusion. Results: In our study, five cases (10%) underwent simultaneous cholecystectomy (selective cholecystectomy) for their asymptomatic gall stones detected by routine pre-operative pelvi-abdominal ultrasound. Simultaneous cholecystectomy was associated by a significant increase in the operative time by about 36 minutes without effect on the post-operative morbidity or hospital stay compared with other patients with no gallstones. Conclusion: Sleeve Gastrectomy for morbidly obese patients was followed by gall bladder stones in only 6.2%. Therefore, prophylactic intra-operative cholecystectomy seems to be not indicated and should be replaced by short-term (3 months only) of oral ursodeoxycholec acid during the period of maximum weight loss. | ||||
| Keywords | ||||
| sleeve gastrectomy; morbidly obese | ||||
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