Biliary issues in the bariatric population

Brandon T Grover; Shanu N Kothari

doi:10.1016/j.suc.2014.01.003

Biliary issues in the bariatric population

Surg Clin North Am. 2014 Apr;94(2):413-25. doi: 10.1016/j.suc.2014.01.003. Epub 2014 Feb 18.

Authors

Brandon T Grover¹, Shanu N Kothari²

Affiliations

¹ Department of General and Vascular Surgery, Gundersen Health System, 1900 South Avenue, C05-001, La Crosse, WI 54601, USA.
² Department of General and Vascular Surgery, Gundersen Health System, 1900 South Avenue, C05-001, La Crosse, WI 54601, USA. Electronic address: snkothar@gundersenhealth.org.

PMID: 24679429
DOI: 10.1016/j.suc.2014.01.003

Abstract

Biliary disease is common in the obese population and increases after bariatric surgery. This article reviews management of the gallbladder at the time of bariatric surgery, as well as imaging modalities in the bariatric surgery population and prevention of lithogenesis in the rapid weight loss phase. In addition, diagnosis and treatment options for biliary diseases are discussed, including laparoscopic-assisted percutaneous transgastric endoscopic retrograde cholangiopancreatography in the patient having bariatric surgery.

Keywords: Bariatric surgery; Biliary tract; Cholangiography; Cholelithiasis; Endoscopy; Laparoscopic-assisted percutaneous transgastric endoscopic retrograde cholangiopancreatography; Obesity; Ursodeoxycholic acid.

Publication types

Review

MeSH terms

Cholangiography / methods
Cholangiopancreatography, Endoscopic Retrograde / methods
Choledocholithiasis / etiology*
Cholelithiasis / etiology*
Endoscopes, Gastrointestinal
Equipment Design
Gastric Bypass / adverse effects*
Humans
Obesity, Morbid / surgery*