Evidence map›Paper›PMID 42791465›Full record

Observational studyObesity surgery2026

Association Between Cholecystectomy and Gastroesophageal Inflammatory Findings After Sleeve Gastrectomy: Endoscopic and Metabolic Evaluation.

Gabriel Guerra Cordeiro, Vinícius Vasconcelos do Amaral, Luiz Alberto Reis Mattos Júnior, Flávio Kreimer, José Guido Correia de Araújo Júnior, Álvaro Antônio Bandeira Ferraz

Abstract readObservational Study
In one paragraph

Observational study in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Gabriel Guerra CordeiroDepartment of Surgery, Federal University of Pernambuco, Recife, Brazil.
Vinícius Vasconcelos do AmaralDepartment of Surgery, Federal University of Pernambuco, Recife, Brazil.
Luiz Alberto Reis Mattos JúniorDepartment of Surgery, Federal University of Pernambuco, Recife, Brazil.
Flávio KreimerDepartment of Surgery, Federal University of Pernambuco, Recife, Brazil.
José Guido Correia de Araújo JúniorDepartment of Surgery, Federal University of Pernambuco, Recife, Brazil.
Álvaro Antônio Bandeira FerrazDepartment of Surgery, Federal University of Pernambuco, Recife, Brazil. alvaroabferraz@gmail.com.ORCID http://orcid.org/0000-0002-3832-3927

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSleeve gastrectomy (SG) is associated with the development or worsening of gastroesophageal reflux disease (GERD). Cholecystectomy following SG - the standard treatment for cholelithiasis resulting from rapid weight loss - may influence GERD pathophysiology by enhancing enterohepatic bile circulation and increasing alkaline reflux.

objectiveTo investigate the longitudinal development of endoscopic and histologic esophageal and gastric mucosal findings, alongside systemic metabolic profiles, across defined pre- and post-cholecystectomy intervals in individuals previously managed with SG.

methodsA longitudinal, retrospective, observational cohort study was conducted with 133 patients who underwent cholecystectomy after SG between 2009 and 2017. Endoscopic findings were analyzed at three time points: pre-SG, pre-cholecystectomy, and post-cholecystectomy.

resultsCompared with the pre-sleeve gastrectomy assessment, moderate esophagitis increased from 3.0% to 12.2% and severe esophagitis from 0.8% to 2.7% at the post-cholecystectomy evaluation. In contrast, the direct comparison between the pre- and post-cholecystectomy assessments demonstrated a significant increase in gastric inflammatory findings, particularly moderate gastritis. Gastritis prevalence increased from 33.9% to 51.4% (p < 0.05), with moderate to severe cases rising from 11.9% to 23.0% (p < 0.05). BMI and metabolic parameters (HbA1c, insulin, fasting glucose, cholesterol, triglycerides, uric acid, and C-peptide) improved significantly (p < 0.001).

conclusionCholecystectomy following sleeve gastrectomy was associated with an increased prevalence and severity of gastritis and a progressive trend in esophagitis over time, without compromising the long-term metabolic benefits of SG.

Indexed as

Bariatric SurgeryCholecystectomyEsophagitisGastrectomyGastritisGastroesophageal RefluxObesity, MorbidPostoperative ComplicationsAdultCholelithiasisFemaleHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesBariatric surgeryBile refluxCholecystectomyGastritisGastroesophageal reflux diseaseSleeve gastrectomyUpper gastrointestinal endoscopy

Identifiers

PMID42791465
PMCPMC13645868

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.