Ursodeoxycholic acid in the prevention of gallstones in patients subjected to Roux-en-Y gastric bypass
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
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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Acta Cirúrgica Brasileira (Online) |
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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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1752126445305462784 |