TY - JOUR
TI - Concomitant cholecystectomy during bariatric surgery: The jury is still out
AU - Doulamis, I.P.
AU - Michalopoulos, G.
AU - Boikou, V.
AU - Schizas, D.
AU - Spartalis, E.
AU - Menenakos, E.
AU - Economopoulos, K.P.
JO - AMERICAN JOURNAL OF SURGERY
PY - 2019
VL - 218
TODO - 2
SP - 401-410
PB - HANLEY & BELFUS-ELSEVIER INC
SN - 0002-9610
TODO - 10.1016/j.amjsurg.2019.02.006
TODO - ursodeoxycholic acid, anastomosis leakage;  arthritis;  band slippage;  bariatric surgery;  bile duct dyskinesia;  biliary colic;  biliopancreatic bypass;  body weight loss;  cardiovascular disease;  cholecystectomy;  cholelithiasis;  chronic obstructive lung disease;  clinical outcome;  concomitant cholecystectomy;  congestive heart failure;  deep vein thrombosis;  diabetes mellitus;  dyslipidemia;  follow up;  gallbladder disease;  gastric banding;  gastroesophageal reflux;  hernia;  human;  hyperlipidemia;  hypertension;  intestine obstruction;  jejunum ulcer;  kidney failure;  laparoscopic sleeve gastrectomy;  laparoscopic surgery;  length of stay;  nausea;  open surgery;  operation duration;  postoperative complication;  postoperative hemorrhage;  priority journal;  reoperation;  respiratory failure;  Review;  Roux-en-Y gastric bypass;  septic shock;  sleep disordered breathing;  stress incontinence;  surgical infection;  surgical mortality;  systematic review;  tachycardia;  thorax pain;  wound infection;  adverse event;  bariatric surgery;  cholecystectomy;  cholelithiasis;  comparative study;  meta analysis;  morbid obesity;  procedures, Bariatric Surgery;  Cholecystectomy;  Cholelithiasis;  Humans;  Obesity, Morbid
TODO - Background: We sought to compare clinical outcomes of concomitant cholecystectomy during four different types of bariatric surgery vs. bariatric surgery alone. Data sources: A systematic literature search of PubMed and Cochrane databases was conducted in accordance with the PRISMA guidelines. Thirty studies were included in this study, reporting data on 13,675 patients. Our findings suggest a higher rate of anastomotic leak/stricture in the case of concomitant cholecystectomy with gastric bypass compared to those who had gastric bypass alone. The scarcity of data concerning sleeve gastrectomy, adjustable gastric banding and biliopancreatic diversion prevented us from quantifying possible difference of outcomes between the examined treatment groups. Conclusions: This study highlights the small number and poor quality of available studies referring to the role of simultaneous cholecystectomy during bariatric surgery. © 2019 Elsevier Inc.
ER -