حصوات المرارة بعد التخسيس السريع أو التكميم: هل هي سبب الألم؟ | Gallstones After Rapid Weight Loss or Sleeve Gastrectomy: Could They Be Causing Your Pain?
الوقاية والتشخيص | Prevention and Diagnosis
حصوات والتهاب المرارة (Gallstones) من أشهر المشاكل بعد النزول السريع في الوزن، سواء بعد جراحات السمنة أو إبر المونجارو والأوزمبيك والساكسندا أو حتى الدايت. د. محمد حسام زيدان بيشرح إن نزول الوزن السريع بيزوّد تركيز الكوليسترول في المرارة ويقلل حركتها، فبيهيّئ لتكوين الحصوات، وإن الأدوية اللي بتتاخد أثناء رحلة التخسيس بتقلل فرصة تكوين الحصوات. ولو ظهر ألم بعد نزول وزن سريع، يُفضّل عمل سونار على البطن، ولو فيه التهاب يُفضّل علاجه بسرعة. | Gallstones and gallbladder inflammation are among the most common problems after rapid weight loss, whether after bariatric surgery, Mounjaro, Ozempic or Saxenda injections, or diet alone. Dr. Mohamed H. Zidan explains that rapid weight loss raises cholesterol concentration in the gallbladder and slows its emptying, creating the conditions for stones to form, and that medications taken during the weight-loss journey reduce this risk. If pain appears after rapid weight loss, an abdominal ultrasound is advised, and any inflammation should be treated promptly.
Key Takeaways
Full Transcript
Unfortunately, after rapid weight loss, one in three patients develops gallbladder inflammation. This happens after any method of weight loss, such as bariatric surgery, Mounjaro, Ozempic or Saxenda injections, or natural weight loss. That's because rapid weight loss increases the concentration of cholesterol in the gallbladder, which reduces gallbladder movement and creates the conditions for stones to form. In fact, the medications taken during the weight-loss journey reduce the rate of gallstone formation threefold. But if there is pain after rapid weight loss, it's best to do an abdominal ultrasound, so that if there is inflammation, we can treat it quickly. And if there is gallbladder inflammation, it's best treated as soon as possible.