Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-Baghdad
Background: Bariatric surgery (BS) is the most effective method for long-term weight loss. Rapid weight reduction after BS may contribute to the formation of gallstones. Objectives: To assess the rate, and to identify the associated factors, of gallstone formation after laparoscopic sleeve gastre...
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College of Medicine University of Baghdad
2024-12-01
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| Series: | مجلة كلية الطب |
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| Online Access: | https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2381 |
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| author | Abdulrahman M. Mohammed Abdulnaser M. Mohammed Tuka Y. Hassan |
| author_facet | Abdulrahman M. Mohammed Abdulnaser M. Mohammed Tuka Y. Hassan |
| author_sort | Abdulrahman M. Mohammed |
| collection | DOAJ |
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Background: Bariatric surgery (BS) is the most effective method for long-term weight loss. Rapid weight reduction after BS may contribute to the formation of gallstones.
Objectives: To assess the rate, and to identify the associated factors, of gallstone formation after laparoscopic sleeve gastrectomy.
Methods: This was a cross-sectional study among 128 patients with morbid obesity, who were treated with laparoscopic sleeve gastrectomy and followed up at two weeks, one month, six months, and one year after surgery between October 2018 and July 2020, at the Gastroenterology and Hepatology Teaching Hospital in Baghdad and the Dowaly Private Hospital. Data was collected using a structured questionnaire.
Results: The mean age of patients was 36.5±5.21 (17–54) for females and 41.6 ±3.04 (24–58) for males. Gallstone formation happened in 49 cases (38.3%). Of all males, four (36.4%) developed gallstones after (LSG), compared to 45 (38.5%) females. Sixty (46.9%) patients had a Body Mass Index (BMI) ≥40 kg/m2, of whom 29 (48.3%) developed gallstones after LSG (p = 0.031). The p-values for weight loss regarding timing and degree of loss show a significant relationship with gallstone formation after LSG (p < 0.05). Comorbid conditions were not significantly associated with the incidence of gallstone formation after LSG (p > 0.05).
Conclusions: More than a third of the cases developed gallstones after Laparoscopic Sleeve Gastrectomy. This was associated with Gross obesity prior to surgery (BMI ≥ 40 kg/m²), losing ≥25% of the original weight, and rapid weight loss during the first six months after LSG.
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| format | Article |
| id | doaj-art-1d5dca56ef9e44998f254a00cdb892a3 |
| institution | Kabale University |
| issn | 0041-9419 2410-8057 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj-art-1d5dca56ef9e44998f254a00cdb892a32025-01-19T12:24:09ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572024-12-0166410.32007/jfacmedbaghdad.6642381Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-BaghdadAbdulrahman M. Mohammed0https://orcid.org/0009-0001-4053-1573Abdulnaser M. Mohammed1https://orcid.org/0009-0005-1148-9221Tuka Y. Hassan2https://orcid.org/0000-0003-4573-8335Gastroenterology and Hepatology Teaching Hospital-Medical City; Ministry of Health, Baghdad, Iraq.Ibn Rushed Teaching Hospital, Ministry of Health, Baghdad, Iraq.Public Health Directorate, Ministry of Health, Baghdad, Iraq. Background: Bariatric surgery (BS) is the most effective method for long-term weight loss. Rapid weight reduction after BS may contribute to the formation of gallstones. Objectives: To assess the rate, and to identify the associated factors, of gallstone formation after laparoscopic sleeve gastrectomy. Methods: This was a cross-sectional study among 128 patients with morbid obesity, who were treated with laparoscopic sleeve gastrectomy and followed up at two weeks, one month, six months, and one year after surgery between October 2018 and July 2020, at the Gastroenterology and Hepatology Teaching Hospital in Baghdad and the Dowaly Private Hospital. Data was collected using a structured questionnaire. Results: The mean age of patients was 36.5±5.21 (17–54) for females and 41.6 ±3.04 (24–58) for males. Gallstone formation happened in 49 cases (38.3%). Of all males, four (36.4%) developed gallstones after (LSG), compared to 45 (38.5%) females. Sixty (46.9%) patients had a Body Mass Index (BMI) ≥40 kg/m2, of whom 29 (48.3%) developed gallstones after LSG (p = 0.031). The p-values for weight loss regarding timing and degree of loss show a significant relationship with gallstone formation after LSG (p < 0.05). Comorbid conditions were not significantly associated with the incidence of gallstone formation after LSG (p > 0.05). Conclusions: More than a third of the cases developed gallstones after Laparoscopic Sleeve Gastrectomy. This was associated with Gross obesity prior to surgery (BMI ≥ 40 kg/m²), losing ≥25% of the original weight, and rapid weight loss during the first six months after LSG. https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2381Bariatric SurgeryBMI.GallstoneObesityLaparoscopic Sleeve Gastrectomy |
| spellingShingle | Abdulrahman M. Mohammed Abdulnaser M. Mohammed Tuka Y. Hassan Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-Baghdad مجلة كلية الطب Bariatric Surgery BMI. Gallstone Obesity Laparoscopic Sleeve Gastrectomy |
| title | Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-Baghdad |
| title_full | Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-Baghdad |
| title_fullStr | Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-Baghdad |
| title_full_unstemmed | Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-Baghdad |
| title_short | Prevalence of Cholelithiasis and Associated Factors of Gallstone Formation after Laparoscopic Sleeve Gastrectomy in the Gastroenterology and Hepatology Teaching Hospital-Baghdad |
| title_sort | prevalence of cholelithiasis and associated factors of gallstone formation after laparoscopic sleeve gastrectomy in the gastroenterology and hepatology teaching hospital baghdad |
| topic | Bariatric Surgery BMI. Gallstone Obesity Laparoscopic Sleeve Gastrectomy |
| url | https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2381 |
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