GALL STONE AND BARIATRIC SURGERY

March 2, 2024

2,851 2 minutes read

Presented in 13th World Gastroenterology, IBD & Hepatology Conference in Holiday Inn Dubai, Al Barsha, UAE & Virtual from December 15-17, 2023.

Speaker Name: Dr. Abdollah Zandi
Biography: The experience and frequency of surgery leads to mastery, and the lack of complications after surgery for patients shows the doctor’s commitment to the patient. Dr. Abdullah Zandi, with more than 24 years of experience in the field of bariatric surgery, and using the most up-to-date American equipment and according to the anatomy and genetics of each person, performs his surgeries in order to not only maintain the health of the patient, but also reduce the complications caused by the surgery. At least as much as possible.

Global Journal of Gastroenterology & Hepatology Research [GJGHR]
Visit speaker page: https://gastroenterology.universeconferences.com/speaker/abdollah-zandi/

Gallstones are a common health condition, affecting a significant portion of the population. The prevalence of gallstones varies based on several factors, including age, gender, ethnicity, and certain medical conditions. Here are some general statistics on the rate of gallstones in the general population:

Gallstones are one of the most common gastrointestinal disorders worldwide.

Overall Prevalence: It is estimated that approximately 10-15% of adults in developed countries have gallstones.

Gender: Women are more likely to develop gallstones than men. Estrogen, a female hormone, increases cholesterol secretion in bile, which can contribute to gallstone formation. Roughly twice as many women develop gallstones compared to men.

Ethnicity: Certain ethnic groups have a higher predisposition to gallstones.

Obesity is a significant risk factor for gallstone development. The prevalence of gallstones is higher in individuals who are overweight or obese due to the impact of excess weight on cholesterol metabolism and bile composition.

Multiple studies have established that rapid weight loss from any cause is associated with lithogenesis. The increased risk of gallstone formation is likely due to changes in cholesterol metabolism with increased cholesterol being excreted into the bile. Rapid weight loss also causes increased secretion of mucin and calcium into the bile,

In patients undergoing laparoscopic Roux-en-Y gastric bypass,13–34% develop gallstones. For sleeve gastrectomy, 8–48% of patients develop new gallstones Patients who undergo laparoscopic adjustable gastric banding seem to have the lowest incidence of cholelithiasis after their operations, possibly due to slower and less overall weigh.

Preoperatively, bariatric surgery patients can be divided into four groups: those who have previously undergone cholecystectomy, those with symptomatic cholelithiasis, those with asymptomatic cholelithiasis, and those without known gallbladder pathology.

Ursodeoxycholic acid has been proposed as a medical adjunct to prevent gallstone formation and need for future cholecystectomy.

Access to the Biliary Tree Following Roux-en-Y Gastric Bypass and duodenal switch is difficult.

A modification of laparoscopic transgastric ERCP wherein a guidewire is placed through the cystic duct and a rendezvous technique is used may make the procedure safer.