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Routine cholecystectomy during Roux-en-Y gastric bypass with or without choledocholithiasis

  1. Todd H Baron1,*,
  2. Sushil K Garg2

Editorial Group: Cochrane Upper GI and Pancreatic Diseases Group

Published Online: 26 AUG 2013

DOI: 10.1002/14651858.CD010715

How to Cite

Baron TH, Garg SK. Routine cholecystectomy during Roux-en-Y gastric bypass with or without choledocholithiasis (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD010715. DOI: 10.1002/14651858.CD010715.

Author Information

  1. 1

    Mayo Clinic College of Medicine, Department of Medicine, Division of Gastroenterology & Hepatology, Rochester, MN, USA

  2. 2

    University of Minnesota, Department of Surgery, Minneapolis, USA

*Todd H Baron, Department of Medicine, Division of Gastroenterology & Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Charlton 8A, Rochester, MN, 55905, USA.

Publication History

  1. Publication Status: New
  2. Published Online: 26 AUG 2013



Additional references

Amaral 1985
Carey 1993
Choban 1999
  • Choban PS, Onyejekwe J, Burge JC, Flancbaum L. A health status assessment of the impact of weight loss following Roux-en-Y gastric bypass for clinically severe obesity. Journal of the American College of Surgeons 1999;188(5):491-7. [PUBMED: 10235576]
Egger 1997
Everhart 1993
Fakhry 1987
Faloon 1988
Flegal 2010
Fobi 2002
  • Fobi M, Lee H, Igwe D, Felahy B, James E, Stanczyk M, et al. Prophylactic cholecystectomy with gastric bypass operation: incidence of gallbladder disease. Obesity Surgery 2002;12(3):350-3. [PUBMED: 12082886]
Guadalajara 2006
  • Guadalajara H, Sanz Baro R, Pascual I, Blesa I, Rotundo GS, Lopez JM, et al. Is prophylactic cholecystectomy useful in obese patients undergoing gastric bypass?. Obesity Surgery 2006;16(7):883-5. [PUBMED: 16839487]
Guyatt 2008
  • Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008;336(7650):924-6. [PUBMED: 18436948]
Hamad 2003
  • Hamad GG, Ikramuddin S, Gourash WF, Schauer PR. Elective cholecystectomy during laparoscopic Roux-en-Y gastric bypass: is it worth the wait?. Obesity Surgery 2003;13(1):76-81. [PUBMED: 12630618]
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1 [updated March 2011]. The Cochrane Collaboration, 2011. Available from
Iglézias Brandão de Oliveira 2003
  • Iglézias Brandão de Oliveira C, Adami Chaim E, da Silva BB. Impact of rapid weight reduction on risk of cholelithiasis after bariatric surgery. Obesity Surgery 2003;13(4):625-8. [PUBMED: 12935366]
Jones 1995
Kim 2009
  • Kim JJ, Schirmer B. Safety and efficacy of simultaneous cholecystectomy at Roux-en-Y gastric bypass. Surgery for Obesity and Related Diseases 2009;5(1):48-53. [PUBMED: 19161934]
Leim 2004
Liddle 1989
Maclure 1989
  • Maclure KM, Hayes KC, Colditz GA, Stampfer MJ, Speizer FE, Willett WC. Weight, diet, and the risk of symptomatic gallstones in middle-aged women. New England Journal of Medicine 1989;321(9):563-9. [PUBMED: 2761600]
Marzio 1988
  • Marzio L, Capone F, Neri M, Mezzetti A, De Angelis C, Cuccurullo F. Gallbladder kinetics in obese patients. Effect of a regular meal and low-calorie meal. Digestive Diseases and Sciences 1988;33(1):4-9. [PUBMED: 3276470]
Patel 2006
  • Patel KR, White SC, Tejirian T, Han SH, Russell D, Vira D, et al. Gallbladder management during laparoscopic Roux-en-Y gastric bypass surgery: routine preoperative screening for gallstones and postoperative prophylactic medical treatment are not necessary. American Surgeon 2006;72(10):857-61. [PUBMED: 17058721]
Review Manager 2013 [Computer program]
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.2. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2013.
Schmidt 1988
  • Schmidt JH, Hocking MP, Rout WR, Woodward ER. The case for prophylactic cholecystectomy concomitant with gastric restriction for morbid obesity. American Surgeon 1988;54(5):269-72. [PUBMED: 3364862]
Scott 2003
  • Scott DJ, Villegas L, Sims TL, Hamilton EC, Provost DA, Jones DB. Intraoperative ultrasound and prophylactic ursodiol for gallstone prevention following laparoscopic gastric bypass. Surgical Endoscopy 2003;17(11):1796-802. [PUBMED: 12958683]
Seinige 1991
  • Seinige UL, Sataloff DM, Lieber CP, DellaCroce JM, Sorouri ES. Gallbladder disease in the morbidly obese patient. Obesity Surgery 1991;1(1):51-6. [PUBMED: 10715661]
Shiffman 1991
  • Shiffman ML, Sugerman HJ, Kellum JM, Brewer WH, Moore EW. Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity. American Journal of Gastroenterology 1991;86(8):1000-5. [PUBMED: 1858735]
Swartz 2005
  • Swartz DE, Felix EL. Elective cholecystectomy after Roux-en-Y gastric bypass: why should asymptomatic gallstones be treated differently in morbidly obese patients?. Surgery for Obesity and Related Diseases 2005;1(6):555-60. [PUBMED: 16925290]
Tucker 2008
  • Tucker ON, Fajnwaks P, Szomstein S, Rosenthal RJ. Is concomitant cholecystectomy necessary in obese patients undergoing laparoscopic gastric bypass surgery?. Surgical Endoscopy 2008;22(11):2450-4. [PUBMED: 18288531]
Villegas 2004
  • Villegas L, Schneider B, Provost D, Chang C, Scott D, Sims T, et al. Is routine cholecystectomy required during laparoscopic gastric bypass?. Obesity Surgery 2004;14(2):206-11. [PUBMED: 15018749]
Warschkow 2013
  • Warschkow R, Tarantino I, Ukegjini K, Beutner U, Guller U, Schmied BM, et al. Concomitant cholecystectomy during laparoscopic Roux-en-Y gastric bypass in obese patients is not justified: a meta-analysis. Obesity Surgery 2013;23(3):397-407. [PUBMED: 23315094]
Worni 2012
  • Worni M, Guller U, Shah A, Gandhi M, Shah J, Rajgor D, et al. Cholecystectomy concomitant with laparoscopic gastric bypass: a trend analysis of the nationwide inpatient sample from 2001 to 2008. Obesity Surgery 2012;22(2):220-9. [PUBMED: 22183984]