Is Routine Cholecystectomy Reasonable in All Patients Receiving a Bypass Procedure: a Comparative Cohort Study

Cantonal Hospital of St. Gallen

Status: Completed

Conditions: Given Indication for Gastric Bypass Procedure

Treatments: Procedure: Laparoscopic Cholecystectomy

Study type: Observational

Funder types: Other

Identifiers

NCT01219166

EKSG10/140/U

Details and patient eligibility

About

Gallbladder management in bariatric surgery is controversially discussed. While some surgeons advocate routine prophylactic cholecystectomy (CCE) during Roux-en-Y gastric bypass (RYGB) others advocate CCE only in patients with pathological gallbladder findings. The aim of this study was to evaluate the necessity of prophylactic CCE in patients receiving a laparoscopic RYGB.

Enrollment: 437 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients who received a laparoscopic Roux-en-Y-gastric bypass

Exclusion criteria

• previous CCE
• open gastric bypass procedure
• previous bariatric procedure other than gastric banding
• patients lost to follow up

Trial design

437 participants in 2 patient groups

laparoscopic Roux-en-Y-gastric-bypass without cholecystectomy

laparoscopic Roux-en-Y-gastric baypass with cholecystectomy

Treatment:

Procedure: Laparoscopic Cholecystectomy