Are you a middle-aged woman on a weight loss journey, especially after bariatric surgery? It’s important to be aware of a common side effect: gallstones. At Sydney Bariatric Clinic, we understand your health concerns and are here to provide clear information and effective solutions for gallstones and gallbladder removal (a procedure called a cholecystectomy).

What are Gallstones and Why Do They Matter to You?

Gallstones are small, hard deposits that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ that stores bile, a fluid made by your liver that helps digest fats.

Why are Gallstones Common After Weight Loss, Especially Surgery?

Gallstones are a surprisingly common concern for people who lose weight rapidly, which often happens after bariatric procedures like gastric bypass or gastric sleeve. The chance of developing gallstones after weight loss surgery is about 10-20%. This is because rapid weight loss can change the balance of chemicals in your bile, making gallstones more likely to form.

Recognizing the Symptoms of Gallstones

If you’re experiencing gallstones, the most common symptom is a sudden, sharp pain in your upper right abdomen. This pain can be severe and last for several hours. Other signs to look out for include:

  • Pain that spreads to your back or right shoulder blade.

  • Fever or chills.

  • Yellowing of your skin or the whites of your eyes (jaundice).

  • Inflammation of the pancreas, which can cause severe abdominal pain.

Diagnosis and Treatment: Gallbladder Removal (Cholecystectomy)

If you suspect you have gallstones, your doctor will typically confirm the diagnosis with an ultrasound of your abdomen and a blood test.

The most common and effective treatment for troublesome gallstones is surgery to remove your gallbladder. This procedure, called a cholecystectomy, is a routine and relatively simple operation. At Sydney Bariatric Clinic, it’s typically performed laparoscopically (using “keyhole” surgery), meaning smaller incisions, less pain, and a quicker recovery. During the surgery, an X-ray of your bile ducts (a cholangiogram) is often performed to ensure no stones have moved into these important ducts.

Thinking Ahead: Gallstones and Your Weight Loss Journey

If you’re preparing for weight loss surgery, we routinely check for gallstones with an abdominal ultrasound beforehand. If gallstones are found, you may have the option to have your gallbladder removed during the same operation as your weight loss surgery. This can save you from needing a second surgery later on, making your journey smoother.

Recovery After Gallbladder Removal

Most women recover quite quickly from gallbladder removal surgery. You can usually go home the same day or the day after your procedure. You’ll be able to start with a light diet right away, but it’s wise to avoid fatty meals for the first few weeks as your body adjusts. Most people need about one to two weeks off work or from their usual activities to fully recover.

Frequently Asked Questions (FAQ)

Gallstones are small, hard deposits that form in your gallbladder, an organ that helps digest fats.

Rapid weight loss can change the composition of your bile, making it easier for gallstones to form.

The most common symptom is sharp pain in the upper right side of your abdomen, which can spread to your back or shoulder. Other symptoms can include fever, jaundice (yellow skin/eyes), or nausea.

Typically, gallstones are diagnosed with an abdominal ultrasound and blood tests.

The most common and effective treatment is surgical removal of the gallbladder, called a cholecystectomy, which is usually done using keyhole surgery.

If gallstones are detected before your weight loss surgery, it may be possible to have your gallbladder removed during the same operation, saving you from a separate procedure later. Your surgeon will discuss this option with you.

Most patients go home the same day or the next. You can resume a light diet immediately, and most people need 1-2 weeks off work or normal activities.

Need to Discuss Gallstones or Your Weight Loss Journey?

If you’re experiencing symptoms of gallstones or have concerns after your weight loss journey, don’t hesitate to reach out. Our team at Sydney Bariatric Clinic, led by Dr. Brendan Ryan, is here to provide expert care and clear advice.

Sydney Bariatric Clinic
Phone: +61 2 9687 7019