Weight Gain After Gallbladder Removed


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Weight Gain After Gallbladder Removal Surgery

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30 November 2020

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Inmaculada García-Ruiz, Pablo Solís-Muñoz, José A. Solís-Herruzo

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Can You Gain Weight After Gallbladder Removal

For some people, weight gain after gallbladder surgery is a big complication to deal with. Some research suggests that gaining weight is a common issue after a gallbladder removal.

For example, the Irish Journal of Medical Science reported on a study showing that women tend to gain more weight than men after a cholecystectomy. Even though they stuck to the recommended low-fat gallstone diet, their body mass index increased by about 2 points.18

A study from China found that gallbladder removal can increase the risk of metabolic syndrome. Some reports indicate that over 60% of people post-cholecystectomy struggle with weight gain after the procedure.19

Cholecystectomy And Mets Components

Numerous epidemiological studies have linked gallstones and cholecystectomy to MetS. However, when compared with gallstones, cholecystectomy is usually more closely, if not solely, associated with each of the MetS components when the two conditions are studied separately.

Table 2 Epidemiologic evidence that links cholecystectomy to various components of MetS

Consistent with the above findings, several lines of evidence suggest that cholecystectomy per se may increase the risk for developing hypertension. In a Chinese population of 5672 subjects, the prevalence of elevated blood pressure was higher among subjects with a history of cholecystectomy than among those with gallstones or without gallstone disease. Similarly, Chavez-Tapia et al analyzed the association between cholecystectomy and the risk factors for cardiovascular disease, and found that patients who underwent cholecystectomy had higher systolic blood pressure levels than those without GB disease or a history of cholecystectomy. Furthermore, Nervi et al found a significantly higher prevalence of hypertension among subjects having undergone cholecystectomy when compared with patients without gallstone disease.

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Am I At Risk For Gallbladder Disease

Gallbladder disease is not uncommon. According to WebMD, risk factors include:

Genetics also play a role as does age, gender, and ethnicity. Gallbladder disease is far more prevalent in women than in men and appears most often after age 40.

Gallstones are also more likely to occur in people of Western European, Hispanic and Native American descent compared to those of Eastern European, Japanese and African American heritage.

Life After Gallbladder Surgery: Your Questions Answered

Pin on Gallbladder diet

Are you having your gallbladder removed? If so, you probably have many questions about what to expect once the procedure is completed. You may be wondering what your life will be life, and how your everyday activities and habits may be affected.

The good news is, life after gallbladder surgery can be very successful for the patient, especially when you know what to expect. At Midtown Surgical & Skin Institute, we want you to be well informed about what you can anticipate once your gallbladder surgery is completed.

Below, you will find answers to the most common questions we hear about living happily and healthily after your gallbladder removal.

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How Do I Know If I Have A Problem With My Gallbladder

In the early stages, the symptoms of gallbladder disease are similar to other digestive issues. Heartburn, gas, bloating and constipation are among the first signs thats something is wrong, but these symptoms are often mild and dismissed as esophageal reflux or food intolerance.

As the disease progresses, symptoms become more severe and can be accompanied by nausea, vomiting, frequent stool and pain that begins in the upper abdomen and may radiate to the right shoulder. Stools may appear light and chalky in color, reflecting an absence of bile.

In the late stages, abdominal pain is often so severe that its mistaken for a heart attack. The pain will usually be worse after eating a meal high in fat and may be accompanied by fever, fatigue and a yellow tint to the skin and whites of the eyes.

Skin yellowing, called jaundice, is caused by a back-up of bile into the liver and most commonly occurs when the bile duct is obstructed by gallstones.

Most people with gallbladder disease have early warning signs before progressing to the later stages however, it is possible for the first attack to be the only one necessary to warrant surgical intervention.

What Is The Gallbladder

The gallbladder is a small pear-shaped sac located below the liver. Its sole responsibility is to store and concentrate bile, a fluid the liver produces to help you digest fat.

The liver makes bile constantly and each time you eat, the gallbladder releases it in modest amounts into your small intestine where it emulsifies fat.

This makes it easier for digestive enzymes to break it down into molecules your body can use, while also absorbing fat-soluble nutrients.

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Weight Gain Due To Metabolic Syndrome

Metabolic syndrome seems to be one of the side effects of gallbladder removal that can cause weight gain. Doctors from the Mayo Clinic describe metabolic syndrome as a combination of factors like excess belly fat, high blood pressure, high blood glucose, and high cholesterol.4

According to a study published in the journal PLoS One, people who have undergone a cholecystectomy are at a greater risk of developing metabolic syndrome. Researchers found that people who have gallstone disease and who had their gallbladder removed were at a 50% greater risk of developing metabolic syndrome. This puts a person at a greater risk of becoming obese and having symptoms associated with being overweight.5

You can help prevent the consequences of metabolic syndrome by making drastic lifestyle changes. Doctors from the Mayo Clinic advise that you should commit to increasing physical activity, eating a healthy, well-balanced diet, and managing stress better. These changes can help you lower your blood pressure naturally and boost your metabolism.

Foods To Consume After Gallbladder Removal To Prevent Weight Gain

Weight Gain after Gallbladder Surgery

According to Dr. Jan Sambrook on Patient.info, foods that are easy to digest can prevent many side effects of gallbladder surgery. Interestingly, many of these foods are also recommended for long-term weight loss and may prevent weight gain in the months following a cholecystectomy.9

What should your gallbladder diet include to help prevent weight gain?

High-fiber foods. After having your gallbladder removed, you should gradually increase the amount of fiber in your diet. This includes foods like wholemeal bread, whole wheat pasta, oats, beans, and legumes. Some studies have shown that increasing fiber content in food can help lose abdominal fat as part of a long-term diet.10

Low-fat sources of protein. To help prevent uncontrollable weight gain after gallbladder removal, your diet should include low-fat protein. The journal Nutrition & Metabolism reported that high-quality sources of protein can help to reduce your waistline and prevent accumulation of abdominal fat.11 Some good sources of protein include eggs, lean red meat, white fish, and poultry. Non-meat sources of protein include beans, lentils, avocado, and nuts.

Fresh fruits and vegetables. Any healthy diet to lose weight or maintain a healthy weight should include fruits and vegetables. For example, green leafy vegetables are a rich source of vitamins, minerals, and fiber. You should also include in your diet multiple colored fruits and vegetables for their high antioxidant content.

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Weight Gain After Cholecystectomy

British medical journal 289

Comment In spite of symptoms such as anorexia, nausea, and vomiting and advice to avoid fatty foods, 31% of our patients were overweight before operation, confirming the preoperative findings of others.2 3 Our study showed that a significant weight gain occurred after cholecystectomy, with men gaining a mean of 4-6% of preoperative body weight and women 3 3% after six months. When patients who either lost weight or remained the same weight were excluded the mean percentage weight gain rose to 6° and 6 6%, respectively. We presume that this weight gain was caused by a reintroduction of fats into the diet, although a metabolic cause cannot be completely excluded. As one third of our patients were already overweight, any further weight gain could be considered to be detrimental to their long term health. We now routinely inform patients undergoing cholecystectomy that they are likely to gain weight after operation and advise them accordingly.

Getting Back To Normal

Your surgeon can give you specific advice about when you can return to your normal activities.

Generally speaking, after keyhole surgery you can:

  • eat a normal diet straight away you can return to a normal diet even if you were advised to avoid certain foods before your operation, although you should try to have a generally healthy and balanced diet
  • do gentle exercises, such as walking but be careful not to push yourself too hard, too soon and ask your surgeon or GP for advice about returning to more strenuous exercise
  • drive again after a week or so but first make sure you can wear a seatbelt and practise an emergency stop without feeling any discomfort
  • have sex as soon as you feel up to it but try not to place weight on your wounds until they have healed
  • return to work after 7 to 14 days, depending on what your job involves

It can take a bit longer to return to these activities after open gallbladder removal surgery.

For example, you may not be able to drive or return to work for around 6 to 8 weeks.

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How Is Gallbladder Disease Treated

For early symptoms, your doctor may recommend pain medicine and lifestyle changes that include losing weight slowly if you are overweight, avoiding fatty foods and abstaining from alcohol.

However, when gallstones are present, surgical removal of the gallbladder, or cholecystectomy, remains the treatment of choice in over 80 percent of patients. This short YouTube video by Lee Health explains more.

What Causes Weight Gain After Gallbladder Surgery

Weight Gain After Gallbladder Surgery

Weight gain after gallbladder surgery is a common complaint and may have a variety of causes. After the gallbladder has been removed, many people are able to eat fatty foods again without risking the negative side effects commonly associated with gallbladder disease. Weight gain may be caused by of the difference in the way the body metabolizes fats after the organ is removed. Medications, stress, and a lack of sleep may also contribute to the weight gain that often follows this type of surgery.

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Problems After Gallbladder Removal : Postcholecystectomy Syndrome

If you continue to suffer from gallbladder symptoms years after a cholecystectomy, it could be that you have postcholecystectomy syndrome .

Postcholecystectomy syndrome describes a number of complications of gallbladder surgery that can cause abdominal discomfort for many years. Although the main symptoms of PCS are mild to intense RUQ pain and indigestion, there are a number of other associated complications.

Dr. Steen W. Jensen says that side effects of gallbladder removal that last for many years can include any of the following:

  • Colicky abdominal pain

Managing Your Weight Post

Despite having your gallbladder removed, its still possible to lose weight as you would normally. As always, short-term and quick weight loss plans arent healthy and may make matters worse in the long run.

Instead, strive to make weight loss part of an overall healthier way of living. That means making good dietary choices and engaging in regular exercise. It doesnt mean starving or completely depriving yourself of the foods you love.

If you have a lot of weight to lose, ask your doctor how you can do it safely. You may also find it helpful to work with a dietitian or nutritionist.

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Why Differentindividuals Experience Weight Loss After Gallbladder Surgery

Despite the fact that gallbladder surgery changes your digestivesystem and the body takes time to adjust. Consequently, momentary weight lossfrom the surgery may happen. Post-surgery, patients watch their eating regimenintently. But, post recovery from surgery, patients who have their gallbladder removedcan put on weight. These are a couple of reasons why.

Can Taking A Bile Salt Supplement Help

Controlling Weight Gain After Gallbladder Removal

Bile salts are produced in the liver, sent to the gallbladder and then on from there into the small intestine. Bile salts make it easier for your body to digest and absorb fats and fat-soluble vitamins. Even after gallbladder removal your liver is still making bile salts. Now rather than pooling in the gallbladder and waiting for food to hit your stomach to be sent in to aid digestion your bile salts are being dripped into your intestines constantly. A Harvard Study finds that there is no reason that you should need a supplement of bile salts.

However, there are people who claim this has made all the difference in their weight management after gallbladder surgery. When we dont have enough bile salts in our bodies we can develop nutrient deficiencies from improper absorption.

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Foods To Avoid After Gallbladder Surgery

It is very important to avoid certain foods after having your gallbladder removed to help with weight loss after gallbladder removal.

Many studies have shown that the major cause of weight gain after gallbladder removal was eating fatty foods and having a poor diet.7

Eating foods high in fat and cholesterol after surgery could put you at a greater risk of postcholecystectomy syndrome. A study in 2018 found that patients who had gallbladder surgery suffered more complications if they consumed too many foods that are high in cholesterol. Symptoms like diarrhea, abdominal pain, and weight gain continued for 3 months or more.12

Some foods to avoid to help prevent weight gain after a cholecystectomy include:9

  • Fatty foods. Foods high in saturated fats like fatty red meat, pork, butter, and pastries should be avoided as part of a long-term gallbladder removal diet.
  • Processed meats. Meats like sausages, salami, burgers, and bacon tend to be high in fat and low in fiber content. Consuming these types of food can make it difficult to lose weight after a gallbladder removal.
  • Sugary foods. Drinking sodas that contain lots of sugar, ready-made sauces, or flavored coffees, can make losing weight very difficult. If you want to lose weight after gallbladder surgery, quit consuming processed sugar.

Here Are Some Vital Tips To Follow:

  • Keep your intake of dairy products and grains to a minimum or avoid them altogether. Dairy products worsen all cases of gallbladder disease, liver disease and they are very difficult to digest. Food intolerance is a common cause of gallbladder problems, and there is research that links gluten intolerance with gallstones. A good reason to keep your intake of grains low is to reduce the risk of developing a fatty liver. There is a great deal of helpful information in our book Save your Gallbladder, and what to do if you’ve already lost it.
  • You may need a vitamin D3 supplement. People with compromised liver or digestive function are often vitamin D deficient. Exposure of your skin to the suns UVB rays enables your body to manufacture vitamin D. However, this process occurs in your liver and kidneys. People with a sluggish liver often do not manufacture vitamin D adequately. Therefore its a good idea to get a blood test and take a supplement. 5000 IU of vitamin D3 is a safe and effective dose for most people, but its best to be guided by your own doctor.
  • Include some bitter and sour foods in your diet. They should help to improve your digestion and make it easier to tolerate good fats in your diet. Suitable bitter and sour foods include lemons, limes, radicchio lettuce, chicory, endive and dandelion leaves. These leaves are fairly easy to grow at home if you are lucky enough to have your own veggie patch.

Recommended Reading: Best Digestive Enzymes After Gallbladder Removal

Reach For Smaller Portions And Skip The Deep

As your system gets used to processing fats without the aid of a gallbladder, large meals and high-fat foods can cause pain and bloating. Smaller, low-fat meals spread throughout your day six is a good number are easier for your digestive system to handle.

Foods to avoid in the weeks following gallbladder surgery include:

  • High-fat meats, such as bologna, sausage, and hamburger
  • Cheese, ice cream, whole milk, and other high-fat dairy products
  • Cream soups or sauces and meat gravies
  • Chicken or turkey skin

We also recommend you avoid heavily spiced foods during your initial recovery phase because theyre more difficult to digest. Rather than deep-frying your foods, reduce the fat and add flavor by stir-frying skinless chicken breast or lean steak in a pan with a teaspoon of olive oil.

Can Gallbladder Disease Be Prevented

Pin on Gall bladder diet

Risk factors for gallbladder disease like gender, ethnicity and family history cant be controlled, but your diet may play a role in developing gallstones.

According to the NIDDK, foods high in fiber and healthy fats may help prevent gallstones, while the refined sugar and white flour in cereals, bakery treats, bread, and pasta are associated with a higher risk of gallbladder disease and should be eaten in moderation.

To talk to your doctor if you are experiencing signs or symptoms of gallbladder disease. The earlier problems are identified and treated, the less likely complications will occur.

With the right treatment, youll be back on track in no time and by adopting healthy lifestyle changes, you can improve digestion and manage your weight effectively.

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Can Gallbladder Cause Weight Gain

Post-surgery, your body acclimates to changes brought about by gallbladder removal, it impacts how the digestive system process food. In few cases, this prompts weight gain. The body will be unable to digest fat and sugar productively.

Can gallbladder cause bloating?

The most common symptom of gallstones is biliary colic, a crampy abdominal pain that often occurs right after meals, particularly fatty meals. The bloating you mention is very common during these attacks, which usually last anywhere from a few minutes to an hour.

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