Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass

Detalhes bibliográficos
Autor(a) principal: Machado,Francisco Heine Ferreira
Data de Publicação: 2019
Outros Autores: Castro Filho,Heladio Feitosa de, Babadopulos,Rodrigo Feitosa de Albuquerque Lima, Rocha,Hermano Alexandre Lima, Costa,Maria da Conceição Cavalcante, Rocha,José Lima de Carvalho, Moraes Filho,Manoel Odorico de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Acta Cirúrgica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502019000100208
Resumo: Abstract Purpose: To evaluate the contribution of ursodeoxycholic acid (UDCA) in the first 12 months after Roux-en-Y gastric bypass in the prevention of gallstone formation. Methods: A community-based clinical trial was conducted. A total of 137 patients were included in the study; 69 were treated with UDCA, starting 30 days after the surgery, at a dose of 150 mg twice daily (300 mg/day) over a period of 5 consecutive months (GROUP A), and 68 were control patients (GROUP B). The patients were followed-up, and ultrasonography was performed to determine the presence of gallstones at various times during follow-up. Demographic, anthropometric and comorbid indicators were obtained. The data were subjected to normality tests and evaluated using appropriate tests. Results: Patients did not differ in their baseline characteristics. Of the 69 patients who used UDCA, only one patient developed cholelithiasis (1%), whereas 18 controls (26%) formed gallstones (OR = 24.4, p <0.001). Also, other factors were found not to influence the formation of calculi, such as pre-operative or postoperative hepatic steatosis or diabetes (p = 0.759, 0.468, 0.956). Conclusion: The results demonstrated that patients who did not use UDCA showed a 24.4-fold greater probability of developing cholelithiasis.
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spelling Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypassObesityBariatric SurgeryGallstonesUrsodeoxycholic AcidAbstract Purpose: To evaluate the contribution of ursodeoxycholic acid (UDCA) in the first 12 months after Roux-en-Y gastric bypass in the prevention of gallstone formation. Methods: A community-based clinical trial was conducted. A total of 137 patients were included in the study; 69 were treated with UDCA, starting 30 days after the surgery, at a dose of 150 mg twice daily (300 mg/day) over a period of 5 consecutive months (GROUP A), and 68 were control patients (GROUP B). The patients were followed-up, and ultrasonography was performed to determine the presence of gallstones at various times during follow-up. Demographic, anthropometric and comorbid indicators were obtained. The data were subjected to normality tests and evaluated using appropriate tests. Results: Patients did not differ in their baseline characteristics. Of the 69 patients who used UDCA, only one patient developed cholelithiasis (1%), whereas 18 controls (26%) formed gallstones (OR = 24.4, p <0.001). Also, other factors were found not to influence the formation of calculi, such as pre-operative or postoperative hepatic steatosis or diabetes (p = 0.759, 0.468, 0.956). Conclusion: The results demonstrated that patients who did not use UDCA showed a 24.4-fold greater probability of developing cholelithiasis.Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502019000100208Acta Cirúrgica Brasileira v.34 n.1 2019reponame:Acta Cirúrgica Brasileira (Online)instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)instacron:SBDPC10.1590/s0102-865020190010000009info:eu-repo/semantics/openAccessMachado,Francisco Heine FerreiraCastro Filho,Heladio Feitosa deBabadopulos,Rodrigo Feitosa de Albuquerque LimaRocha,Hermano Alexandre LimaCosta,Maria da Conceição CavalcanteRocha,José Lima de CarvalhoMoraes Filho,Manoel Odorico deeng2019-04-30T00:00:00Zoai:scielo:S0102-86502019000100208Revistahttps://www.bvs-vet.org.br/vetindex/periodicos/acta-cirurgica-brasileira/https://old.scielo.br/oai/scielo-oai.php||sgolden@terra.com.br0102-86501678-2674opendoar:2019-04-30T00:00Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)false
dc.title.none.fl_str_mv Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
title Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
spellingShingle Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
Machado,Francisco Heine Ferreira
Obesity
Bariatric Surgery
Gallstones
Ursodeoxycholic Acid
title_short Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
title_full Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
title_fullStr Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
title_full_unstemmed Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
title_sort Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
author Machado,Francisco Heine Ferreira
author_facet Machado,Francisco Heine Ferreira
Castro Filho,Heladio Feitosa de
Babadopulos,Rodrigo Feitosa de Albuquerque Lima
Rocha,Hermano Alexandre Lima
Costa,Maria da Conceição Cavalcante
Rocha,José Lima de Carvalho
Moraes Filho,Manoel Odorico de
author_role author
author2 Castro Filho,Heladio Feitosa de
Babadopulos,Rodrigo Feitosa de Albuquerque Lima
Rocha,Hermano Alexandre Lima
Costa,Maria da Conceição Cavalcante
Rocha,José Lima de Carvalho
Moraes Filho,Manoel Odorico de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Machado,Francisco Heine Ferreira
Castro Filho,Heladio Feitosa de
Babadopulos,Rodrigo Feitosa de Albuquerque Lima
Rocha,Hermano Alexandre Lima
Costa,Maria da Conceição Cavalcante
Rocha,José Lima de Carvalho
Moraes Filho,Manoel Odorico de
dc.subject.por.fl_str_mv Obesity
Bariatric Surgery
Gallstones
Ursodeoxycholic Acid
topic Obesity
Bariatric Surgery
Gallstones
Ursodeoxycholic Acid
description Abstract Purpose: To evaluate the contribution of ursodeoxycholic acid (UDCA) in the first 12 months after Roux-en-Y gastric bypass in the prevention of gallstone formation. Methods: A community-based clinical trial was conducted. A total of 137 patients were included in the study; 69 were treated with UDCA, starting 30 days after the surgery, at a dose of 150 mg twice daily (300 mg/day) over a period of 5 consecutive months (GROUP A), and 68 were control patients (GROUP B). The patients were followed-up, and ultrasonography was performed to determine the presence of gallstones at various times during follow-up. Demographic, anthropometric and comorbid indicators were obtained. The data were subjected to normality tests and evaluated using appropriate tests. Results: Patients did not differ in their baseline characteristics. Of the 69 patients who used UDCA, only one patient developed cholelithiasis (1%), whereas 18 controls (26%) formed gallstones (OR = 24.4, p <0.001). Also, other factors were found not to influence the formation of calculi, such as pre-operative or postoperative hepatic steatosis or diabetes (p = 0.759, 0.468, 0.956). Conclusion: The results demonstrated that patients who did not use UDCA showed a 24.4-fold greater probability of developing cholelithiasis.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502019000100208
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502019000100208
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s0102-865020190010000009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
publisher.none.fl_str_mv Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
dc.source.none.fl_str_mv Acta Cirúrgica Brasileira v.34 n.1 2019
reponame:Acta Cirúrgica Brasileira (Online)
instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)
instacron:SBDPC
instname_str Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)
instacron_str SBDPC
institution SBDPC
reponame_str Acta Cirúrgica Brasileira (Online)
collection Acta Cirúrgica Brasileira (Online)
repository.name.fl_str_mv Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)
repository.mail.fl_str_mv ||sgolden@terra.com.br
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