Gallbladder Problems After Weight Loss Surgery
Gallbladder problems are extremely common in obese and overweight individuals. These problems within the gallbladder are called Gallstones, which are caused primarily by:
- High cholesterol levels
- High fatty deposit levels
Bariatric surgery, or weight loss surgery, is a procedure that makes it possible to eliminate weight by making modifications to your digestive tract. The liver creates bile, which helps the digestion of fatty acids.
Unfortunately, if cholesterol gets too high, bile is unable to process correctly which causes a blockage creating gallbladder problems known as gallstones.
Why Gallstones Form After Bariatric Surgery
The gallbladder is a key component of the digestive tract. The gallbladder stores bile which is produced by the liver. Bile helps with the digestion of fatty acids. Removing the gallbladder does not halt the liver from creating the bile required to digest fats. Rather than being stored in the gut, the bile will trickle to your digestive tract, forming gallstones.
Why do Gallstones Form?
Gallstones are common and affect at least 1/4 of obese individuals. This is because of extremely high cholesterol levels. In many cases, gallstones become so bad that they need to be surgically removed.
After weight loss surgery, gallstones form because of rapid weight loss generated from bariatric procedures like gastric bypass or gastric sleeve surgery. Other bariatric surgeries additionally alter your gut, the principal organ of the body which absorbs nutrients and calories from foods and drinks.
Bariatric surgery is so effective because it changes or at least disrupts the digestion process so that food is not broken down and absorbed as originally intended. A decline in the number of calories and nutrients consumed enables individuals to shed weight and lessen their risk of obesity-related health dangers or disorders.
This fat loss and rapid weight loss are risk factors for developing gallstones. There is also a heightened risk for gallstones in case you have a diet high in processed carbohydrates, calories, and fiber.
Gallbladder Problems After Gastric Bypass Surgery
The incidence of gallstone formation following gastric bypass surgery is as large as 52.8% annually. The primary potential mechanism would be that the low cholecystokinin secretion because of reduced neighborhood enteric-endocrine reflex leading to duodenal exclusion. Prophylactic cholecystectomy through the Roux-en-Y gastric bypass surgery was indicated to decrease the prevalence of gallstone-related complications.
Why Do Gallstones Form After Gastric Bypass Surgery?
Gastric bypass uses a malabsorptive component, which gives bypass a greater chance of gallstones to occur. Purely restrictive processes like sleeve gastrectomy can lead to less gallstone formation since complete gastrointestinal movement, and entero-endocrine reflex has been preserved. To our knowledge, no reports from the literature have examined the prevalence of gallstone formation comparing gastric sleeve surgery to gastric bypass surgery.
Gallbladder Gastric Sleeve
According to the other research, a greater prevalence of gallstones has been reported in gastric sleeve surgery patients compared to the overall obese population. Cholelithiasis, or gallstones, occurred in 30% of patients receiving gastric sleeve surgery.
However, the present theories posit the operative dissection of the vagal back influences rectal contractility and a non-physiological reshaping of their gastrointestinal tract; for example, duodenal exception contributes to enhanced gallstone formation. The current study assessed the prevalence of gallstone formation following gastrectomy for stomach cancer and identified as risk factors for gallstones.
Gastric Sleeve Gallstones
In gastric sleeve surgical procedures, the surgeon removes almost 80 to 90 percent of your stomach, leaving just an elongated-shaped sac that is closed with staples. This kind of bariatric process is also known as sleeve gastrectomy.
The primary purpose of gastric sleeve surgery is to decrease the capacity of the stomach, which makes you feel full sooner. Taking out a part of your stomach may also impact hormones and gut bacteria that might influence metabolism and appetite. This sort of surgical procedure cannot be reversed once the surgical procedure is performed because the gastric sleeve surgical procedure permanently removes the majority of the stomach.
The prevalence of gallstone formation after gastric sleeve surgery was found in 21.4 percent of sleeve patients. Total gastrectomy, Billroth II reconstruction along with diabetes mellitus were risk factors for gallstone formation. Total gastrectomy can be a risk factor for complex gallstone.
Lap Band Gallbladder Issues
Lap Band, or gastric banding, has a reduced chance of gallbladder issues or gallstones compared to more aggressive weight loss procedures. This is primarily due to the less efficacy of the procedure because it causes less weight loss at a much slower pace in comparison with gastric sleeve or bypass.
Gallbladder Removal / Surgery and Weight Loss
The gallbladder may be removed via an abdominal incision. Nowadays, it is more probable your physician will choose the laparoscopic surgical procedure. This process involves a couple of tiny incisions. Your hospital stay and complete recovery period will probably be substantially shorter following laparoscopic operation.
How to Prevent Gallstones After Weight Loss Surgery
The increased efficiency from weight loss surgery (like gastric bypass or sleeve) appears to be the impact that the surgery has on gastric hormones which affect numerous factors such as appetite, satiety, and blood glucose management.
Can Gallstones Cause Weight Gain
Obesity is one of the most common causes of gallstones – not the other way around. Gallstones do not generally cause weight gain. They are primarily caused by being overweight or losing weight rapidly.
Some bariatric surgeons remove offer gallbladder removal during your weight loss surgery procedure. Although, gallbladders are usually only removed if they are damaged or high-risk for gallstones or problems later on. Consult with your doctor if you think you may have gallstones.