Table 2. Kidney stone incidence following bariatric surgery.
Article | Procedure [n] | F/U (mo.) | Post-procedural stone incidence | Comments |
---|---|---|---|---|
Durrani 2006 (25) | RYGB =972 | NR | 26/85 (31%): recurrent | Stones identified by patient chart review. Mean time to stone formation was 2.8 years (de novo) and 1.9 years (recurrent) |
32/887 (3.6%): de novo | ||||
Matlaga 2009 (26) | RYGB [4,639] | 18.6 | RYGB =355/4,639 (7.7%) | Stones identified by CPT code within claims data versus matched obese controls |
Con [4,639] | Con =215 (4.6%) | |||
Costa-Matos 2009 (27) | RYGB [58] | 42† | RYGB =0/58 (0%) | Stones identified by RUS. One patient had a stone pre-RYGB which remained unchanged post-op |
Shimizu 2012 (28) | DTGx [226] | NR | 31/226 (13.7%) | Stones identified by CT in gastric cancer patients. Incident stones occurred in 25% (21/85) of total vs. 7% (10/141) distal gastrectomy. Mean time to first stone 17.6 months post-surgery |
Valezi 2013 (15) | RYGB [151] | 12 | 27/151 (18%): total | A total of 16 patients had pre-existing stones by RUS or by stone history. Post-operative stone formation was predicted by elevated urinary oxalate and uric acid levels |
11/135 (8%): de novo |
F/U, follow-up in months, some means are number of months post-procedure; †, follow-up time reported as median; RYGB, Roux-en-Y gastric bypass; GB, gastric band; Con, ontrol; CPT, common procedural terminology; RUS, renal ultrasound; BPD, biliopancreatic diversion with duodenal switch; DTGx, distal or total gastrectomy with Bilroth I or Roux-en-Y gastric bypass.