Introduction Laparoscopic cholecystectomy (LC)

relieves symptomatic cholelithiasis (SC) but may facilitate
postoperative gluttony.
Aim To examine changes in body mass index (BMI) and general
health of a cohort of patients three years after uncomplicated LC
for SC.


Patients were studied three years after uncomplicated LC
and compared to age- and gender-matched controls who had
undergone non-biliary surgery.Results Forty-two patients and 42
controls were studied. The mean age of the patients was 55 years
(range 29–82) versus 54 years (25–82) for controls. Patients
undergoing LC increased their mean BMI by 1.8kg/m2. Females
were particularly likely to gain weight (mean change in BMI=+2.1),
with no significant difference being found between premenopausal
and postmenopausal women. Of the 24 LC patients who claimed to
continue their low fat diet, the mean BMI changed from 27.6 to
29.6kg/m2. The mean BMI of the 17 people who claimed regular
exercise changed less markedly (+1.4) than those who admitted
infrequent exercise (+2.1).


Selection for LC may identify patients at risk of
continuing or resumed aetiological contributors to obesity. Followup
long after the surgery may therefore be necessary to facilitate
additional healthcare interventions.


Weight gain after laparoscopic cholecystectomy
Journal Irish Journal of Medical Science
Publisher Springer London
ISSN 0021-1265 (Print) 1863-4362 (Online)
Issue Volume 173, Number 1 / January, 2004
Category Original Paper
DOI 10.1007/BF02914515
Pages 9-12
Subject Collection Medicine
SpringerLink Date Thursday, June 12, 2008

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