Background: Gallstones have been shown to develop in patients who experience rapid weight loss after dietary restriction and bariatric surgery . Data regarding gallstone development after Sleeve Gastrectomy, however, are limited.Pure restrictive surgery such as laparoscopic sleeve gastrectomy should result in less gallstone formation because the food continues to follow the normal gastrointestinal transit maintaining the enteric-endocrine reflex
Methods: In this study, 40 patients had been followed up after undergoing bariatric surgery for assessment of gallstone formation and results found according to sex, age, DM, hyperlipidemia, type of surgery, relation to BMI, rate of weight loss, timing of gallstone formation.
Results: After one year of Sleeve Gastrctomy operation 8 patients developed gallstones while 32 patient were free from gallstone formation . According to Rate of weight loss, 6 cases who loosed More than 25% of their weight after one year of Sleeve Gastrctomy operation developed gallstones, while 1 case from whom loosed less than 25% of their weight came with the same diagnosis . The P-value of this study was 0.025 which is significant
Conclusion:. Gallstones are a common complication after rapid weight loss from laparoscopic sleeve gastrectomy. Routine prophylactic cholecystectomy is recommended for weight reduction during laparoscopic sleeve gastrectomy