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

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.

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