The risk of gallstone formation in the gallbladder increases during the process of rapid weight loss with sleeve gastrectomy, gastric bypass or any diet. The reason for this is the change in the ratio of cholesterol and other solutes in the bile produced in the liver and stored in the gallbladder. In addition, it is thought that functional changes and hormonal changes after stomach reduction or other obesity surgeries may cause this. For this reason, you should be very careful about the risk of gallstone formation after bariatric surgery.
In a study we conducted, we found that in the first 6 months after gastric reduction surgery (sleeve gastrectomy), gallstones may occur at a rate of 20% due to effective weight loss (in 2 of 10 patients). In this period, we also determined that this risk was reduced by 4 times with the use of a drug called ursaktive, which increases bile solubility. For those who want to read our work on this subject, I will share the link below. In that respect, the use of ursaktive drug, especially in the first 6 months after obesity surgery, will be beneficial in terms of preventing gallstone formation. In addition, it is important to drink plenty of water and to include some vegetable oils in the diet after surgery in order to prevent stone formation. Dietary fats stimulate the secretion of the hormone cholecystokinin and prevent the formation of bile deposits and stones by emptying the gallbladder from time to time.
If you feel a sudden pain in the middle of your stomach or under your right rib after bariatric surgery, this pain may be due to gallbladder inflammation due to gallstones. In this case, it can be easily understood whether there is a problem in the gallbladder with blood tests and ultrasound. Beyond that, we make sure that all our patients have their gallbladder checked by ultrasound in the 1st year after sleeve gastrectomy, whether they have a complaint or not. We follow up the patients with whom we have stones in the gallbladder and inform them about possible complaints in advance. If you have any questions about this subject, you can reach us by phone or on social media (@doc.dr.ozansen instagram account). Stay with love
https://pubmed.ncbi.nlm.nih.gov/32228343/
If you have any questions about this or other issues such as obesity, bariatric surgery, tube stomach surgery, gastric bypass surgery, weight loss methods, gastric balloon, stomach botox, you can send them to us by visiting our website or social media accounts.
You can reach all our social media accounts from the link below
https://linktr.ee/doc.dr.ozansen
