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.

Keywords: Bariatric surgery; Biliary tract; Cholangiography; Cholelithiasis; Endoscopy; Laparoscopic-assisted percutaneous transgastric endoscopic retrograde cholangiopancreatography; Obesity; Ursodeoxycholic acid.