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Effects Of Cholecystectomy On Pipid Profile

Year 2022, Volume: 39 Issue: 4, 1246 - 1248, 29.10.2022

Abstract

Introduction: Cholecystectomy is widely used to treat gallstone disease as one of the surgical procedures which have been most frequently performed worldwide. The bile acids pool has unchanged size, but it has fast circulation, which causes to expose the enterohepatic organs to increased flux of bile acids per day in cholecystectomized patients. This study aims to evaluate blood lipid levels before and after cholecystectomy.
Methods: The total number of 80 consecutive patients underwent elective cholecystectomy were included in this study. Lipid parameters, biochemical analysis were obtained before surgery and after 12 weeks of cholecystectomy.
Results: Mean age was 49±13. Sixty (75%) patients were female. None of the subjects died during perioperative course. Levels of total cholesterol (191.9 ±37.1 mg/dl vs. 186.1 ±36.8 mg/dl, respectively; p=0.006), LDL-C (142.6±41.7 mg/dl vs. 133.9±35.1 mg/dl, respectively; p<0.001) were significantly reduced after eight weeks of cholecystectomy, whereas triglyceride and HDL-C levels were not significantly altered.
Conclusion: This study demonstrated that cholecystectomy causes a significant reduction of LDL and total cholesterol levels. Prospective randomized studies should help for determining of possible clinical positive effects of cholecystectomy on atherosclerosis.

References

  • 1- Browning MG, Pessoa BM, Khoraki J, Campos GM. Changes in Bile Acid Metabolism, Transport, and Signaling as Central Drivers for Metabolic Improvements After Bariatric Surgery. Curr Obes Rep. 2019 Jun;8(2):175-184.
  • 2- Boyer JL. Bile formation and secretion. Compr Physiol. 2013 Jul;3(3):1035-78.
  • 3- Houten SM, Watanabe M, Auwerx J. Endocrine functions of bile acids. EMBO J 2006; 25(7):1419-25.
  • 4- Krondl A, Vavrinkova H, Michalec C. Effect of Cholecystectomy on the Role of the Gall Bladder in Fat Absorption. Gut. 1964 Dec;5(6):607-10.
  • 5- Almond HR, Vlahcevic ZR, Bell CC, Jr., Gregory DH, Swell L. Bile acid pools, kinetics and biliary lipid composition before and after cholecystectomy. N Engl J Med. 1973 Dec 6;289(23):1213-6.
  • 6- Roda E, Aldini R, Mazzella G, Roda A, Sama C, Festi D, Barbara L. Enterohepatic circulation of bile acids after cholecystectomy. Gut. 1978 Jul;19(7):640-9.
  • 7- Kullak-Ublick GA, Paumgartner G, Berr F. Long-term effects of cholecystectomy on bile acid metabolism. Hepatology. 1995 Jan;21(1):41-5.
  • 8- Shaffer EA, Small DM. Biliary lipid secretion in cholesterol gallstone disease. The effect of cholecystectomy and obesity. J Clin Invest. 1977 May;59(5):828-40.
  • 9- Juvonen T, Kervinen K, Kairaluoma MI, Kesaniemi YA. Effect of cholecystectomy on plasma lipid and lipoprotein levels. Hepatogastroenterology. 1995 Jul-Aug;42(4):377-82.
  • 10- Malik AA, Wani ML, Tak SI, Irshad I, Ul-Hassan N. Association of dyslipidaemia with cholilithiasis and effect of cholecystectomy on the same. Int J Surg. 2011;9(8):641-2.
  • 11- van der Linden J, Jr., Kempi V, van der Linden W. Bile flow before and after cholecystectomy: a study with 99mTc-HIDA. Acta Chir Scand. 1985;151(5):461-4.
  • 12- Chen YP, Chang KC, Tseng WK, Yin WH, Chen JW, Lee YT, Wu CC. Increased Rosuvastatin Dose versus Concomitant Fenofibrate and Rosuvastatin Therapy to Achieve Lipid Goal in Patients with Diabetes or Atherosclerosis with Metabolic Syndrome. Acta Cardiol Sin. 2013 Sep;29(5):421-8.
  • 13- Simko V, Ginter E. How far down to push the LDL cholesterol? PCSK9 where statins fail. Bratisl Lek Listy. 2016;117(4):193-4.
  • 14- Expert Panel on Detection E, Treatment of High Blood Cholesterol in A. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001 May 16;285(19):2486-97.
  • 15- Amigo L, Husche C, Zanlungo S, et al. Cholecystectomy increases hepatic triglyceride content and very-low-density lipoproteins production in mice. Liver Int. 2011 Jan;31(1):52-64.
Year 2022, Volume: 39 Issue: 4, 1246 - 1248, 29.10.2022

Abstract

References

  • 1- Browning MG, Pessoa BM, Khoraki J, Campos GM. Changes in Bile Acid Metabolism, Transport, and Signaling as Central Drivers for Metabolic Improvements After Bariatric Surgery. Curr Obes Rep. 2019 Jun;8(2):175-184.
  • 2- Boyer JL. Bile formation and secretion. Compr Physiol. 2013 Jul;3(3):1035-78.
  • 3- Houten SM, Watanabe M, Auwerx J. Endocrine functions of bile acids. EMBO J 2006; 25(7):1419-25.
  • 4- Krondl A, Vavrinkova H, Michalec C. Effect of Cholecystectomy on the Role of the Gall Bladder in Fat Absorption. Gut. 1964 Dec;5(6):607-10.
  • 5- Almond HR, Vlahcevic ZR, Bell CC, Jr., Gregory DH, Swell L. Bile acid pools, kinetics and biliary lipid composition before and after cholecystectomy. N Engl J Med. 1973 Dec 6;289(23):1213-6.
  • 6- Roda E, Aldini R, Mazzella G, Roda A, Sama C, Festi D, Barbara L. Enterohepatic circulation of bile acids after cholecystectomy. Gut. 1978 Jul;19(7):640-9.
  • 7- Kullak-Ublick GA, Paumgartner G, Berr F. Long-term effects of cholecystectomy on bile acid metabolism. Hepatology. 1995 Jan;21(1):41-5.
  • 8- Shaffer EA, Small DM. Biliary lipid secretion in cholesterol gallstone disease. The effect of cholecystectomy and obesity. J Clin Invest. 1977 May;59(5):828-40.
  • 9- Juvonen T, Kervinen K, Kairaluoma MI, Kesaniemi YA. Effect of cholecystectomy on plasma lipid and lipoprotein levels. Hepatogastroenterology. 1995 Jul-Aug;42(4):377-82.
  • 10- Malik AA, Wani ML, Tak SI, Irshad I, Ul-Hassan N. Association of dyslipidaemia with cholilithiasis and effect of cholecystectomy on the same. Int J Surg. 2011;9(8):641-2.
  • 11- van der Linden J, Jr., Kempi V, van der Linden W. Bile flow before and after cholecystectomy: a study with 99mTc-HIDA. Acta Chir Scand. 1985;151(5):461-4.
  • 12- Chen YP, Chang KC, Tseng WK, Yin WH, Chen JW, Lee YT, Wu CC. Increased Rosuvastatin Dose versus Concomitant Fenofibrate and Rosuvastatin Therapy to Achieve Lipid Goal in Patients with Diabetes or Atherosclerosis with Metabolic Syndrome. Acta Cardiol Sin. 2013 Sep;29(5):421-8.
  • 13- Simko V, Ginter E. How far down to push the LDL cholesterol? PCSK9 where statins fail. Bratisl Lek Listy. 2016;117(4):193-4.
  • 14- Expert Panel on Detection E, Treatment of High Blood Cholesterol in A. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001 May 16;285(19):2486-97.
  • 15- Amigo L, Husche C, Zanlungo S, et al. Cholecystectomy increases hepatic triglyceride content and very-low-density lipoproteins production in mice. Liver Int. 2011 Jan;31(1):52-64.
There are 15 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Altan Aydın 0000-0002-2981-2833

Doğan Öztürk This is me 0000-0003-1754-9246

Publication Date October 29, 2022
Submission Date July 16, 2022
Acceptance Date July 17, 2022
Published in Issue Year 2022 Volume: 39 Issue: 4

Cite

APA Aydın, A., & Öztürk, D. (2022). Effects Of Cholecystectomy On Pipid Profile. Journal of Experimental and Clinical Medicine, 39(4), 1246-1248.
AMA Aydın A, Öztürk D. Effects Of Cholecystectomy On Pipid Profile. J. Exp. Clin. Med. October 2022;39(4):1246-1248.
Chicago Aydın, Altan, and Doğan Öztürk. “Effects Of Cholecystectomy On Pipid Profile”. Journal of Experimental and Clinical Medicine 39, no. 4 (October 2022): 1246-48.
EndNote Aydın A, Öztürk D (October 1, 2022) Effects Of Cholecystectomy On Pipid Profile. Journal of Experimental and Clinical Medicine 39 4 1246–1248.
IEEE A. Aydın and D. Öztürk, “Effects Of Cholecystectomy On Pipid Profile”, J. Exp. Clin. Med., vol. 39, no. 4, pp. 1246–1248, 2022.
ISNAD Aydın, Altan - Öztürk, Doğan. “Effects Of Cholecystectomy On Pipid Profile”. Journal of Experimental and Clinical Medicine 39/4 (October 2022), 1246-1248.
JAMA Aydın A, Öztürk D. Effects Of Cholecystectomy On Pipid Profile. J. Exp. Clin. Med. 2022;39:1246–1248.
MLA Aydın, Altan and Doğan Öztürk. “Effects Of Cholecystectomy On Pipid Profile”. Journal of Experimental and Clinical Medicine, vol. 39, no. 4, 2022, pp. 1246-8.
Vancouver Aydın A, Öztürk D. Effects Of Cholecystectomy On Pipid Profile. J. Exp. Clin. Med. 2022;39(4):1246-8.