Unité deChirurgie Viscérale, Endocrinienne et Métabolique, Centre Hospitalier d'Arras, Boulevard Besnier, BP914, 62022 Arras cedex, France.
J Visc Surg. 2010 Aug;147(4):e217-20. doi: 10.1016/j.jviscsurg.2010.08.001.
Gallstones are commonly observed after rapid weight loss, particularly after bariatric surgery. Preventive measures of gallstone formation and potential related complications are still debated. This study aimed to propose a standardized strategy according to the results of the literature. Thus, preventive measures should be determined according to patient status (evaluated clinically and by routine ultrasound) and the type of bariatric surgery. Cholecystectomy should be performed in patients with symptomatic gallstones irrespective of the planned operation, or for asymptomatic gallstones during a gastric by-pass. In other settings, ursodesoxycholic acid should be given postoperatively for 6 months.
胆结石在快速减肥后很常见，尤其是在接受减重手术后。对于胆结石形成的预防措施和潜在相关并发症仍存在争议。本研究旨在根据文献结果提出一种标准化策略。因此，预防措施应根据患者的情况（通过临床评估和常规超声检查评估）和减重手术的类型来确定。对于有症状的胆结石患者，无论计划进行何种手术，均应进行胆囊切除术；对于胃旁路术后无症状的胆结石患者，也应进行胆囊切除术。在其他情况下，应在术后给予熊去氧胆酸治疗 6 个月。
