title: Biliary issues in the bariatric population.
abstract: Biliary disease is common in the obese population and increases after bariatric surgery. This article reviews management of the gallbladder at the time of bariatric surgery, as well as imaging modalities in the bariatric surgery population and prevention of lithogenesis in the rapid weight loss phase. In addition, diagnosis and treatment options for biliary diseases are discussed, including laparoscopic-assisted percutaneous transgastric endoscopic retrograde cholangiopancreatography in the patient having bariatric surgery.
authors.affiliation: Department of General and Vascular Surgery, Gundersen Health System, 1900 South Avenue, C05-001, La Crosse, WI 54601, USA.
authors.forename: Brandon T
authors.initials: BT
authors.lastname: Grover
authors.affiliation: Department of General and Vascular Surgery, Gundersen Health System, 1900 South Avenue, C05-001, La Crosse, WI 54601, USA. Electronic address: snkothar@gundersenhealth.org.
authors.forename: Shanu N
authors.initials: SN
authors.lastname: Kothari
mesh_terms: D002758:Cholangiography / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D042883:Choledocholithiasis / Q000209:etiology*; D002769:Cholelithiasis / Q000209:etiology*; D020776:Endoscopes, Gastrointestinal; D004867:Equipment Design; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery*
keywords: Bariatric surgery; Biliary tract; Cholangiography; Cholelithiasis; Endoscopy; Laparoscopic-assisted percutaneous transgastric endoscopic retrograde cholangiopancreatography; Obesity; Ursodeoxycholic acid