{
  "abstract": "Introduction: The management of gallbladder disease during metabolic and bariatric surgery (MBS) remains controversial. Cholelithiasis is common in patients with obesity, yet the approach to concomitant or prophylactic cholecystectomy varies, with limited data from Egypt. This study aimed to assess Egyptian bariatric surgeons’ practices, attitudes, and decision-making regarding cholecystectomy during MBS.\n\nMethods: A national cross-sectional survey was distributed to bariatric surgeons in Egypt, collecting information on demographics, surgical experience, preoperative screening, intraoperative decision-making, postoperative management, and prophylactic practices. The questionnaire included structured, closed-ended questions. Data were analyzed descriptively and compared between IFSO members and non-members using chi-square or Fisher’s exact tests, with p < 0.05 considered significant.\n\nResults: A total of 117 surgeons participated, predominantly male (99%), with 16.2% IFSO members. Bariatric surgery was concentrated in Cairo (42%) and Alexandria (26%). Most surgeons (97%) screened gallstones preoperatively using abdominal ultrasound. Concomitant cholecystectomy was preferred for documented gallstones by 78%, while 82% never performed prophylactic cholecystectomy in patients with normal gallbladders. The majority performed the bariatric procedure first (82%) in reverse Trendelenburg position (88%), minimizing additional ports. Routine intraoperative cholangiography was rare (1.7%). Postoperative management largely mirrored isolated bariatric surgery, although antibiotic and drain practices differed between groups. Surgeons generally perceived combined procedures as safe, with 76% reporting no increase in complications and 89% reporting similar length of stay.\n\nConclusion: Egyptian bariatric surgeons consistently screen for gallstones and favor concomitant cholecystectomy for documented stones, while largely avoiding prophylactic removal of normal gallbladders. Variation exists in intraoperative management and postoperative care. These findings highlight areas for standardization and support the development of a national pathway and multicenter registry to optimize gallbladder management in MBS.",
  "abstract_shown": true,
  "affiliations": [
    "General Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt",
    "Faculty of Medicine, Tanta University, Tanta, Egypt",
    "MIAX Research Lab, Alexandria, Egypt",
    "Faculty of Medicine, Alexandria University, Alexandria, Egypt",
    "Department of General Surgery, North Devon District Hospital, Royal Devon University Healthcare NHS Foundation Trust, Barnstaple, Barnstaple, Devon EX31 4JB UK",
    "Kafrelsheikh University, Kafrelsheikh, Egypt",
    "Faculty of Medicine, Capital University, Cairo, Egypt",
    "Department of Surgery, Ain-Shams School of Medicine, Heliopolis, Cairo, Egypt"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 115,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mohamed ElKaseer",
      "orcid": "0000-0001-9884-7004"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Mahmoud ElSafty",
      "orcid": "0009-0004-8461-0435"
    },
    {
      "affs": [
        3,
        2
      ],
      "name": "Hassan El-Masry",
      "orcid": "0009-0000-6177-3697"
    },
    {
      "affs": [
        4
      ],
      "name": "Waleed A. Anber",
      "orcid": "0009-0000-2292-9871"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Mohamed S. Elgendy",
      "orcid": "0000-0003-3080-2875"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Hamdy Khaled Sabra",
      "orcid": "0000-0002-2604-1463"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohammed Ibrahim El Sayed Henish",
      "orcid": "0000-0003-4871-0995"
    },
    {
      "affs": [
        5
      ],
      "name": "Mohamed Tolba",
      "orcid": "0000-0001-8239-1938"
    },
    {
      "affs": [
        0
      ],
      "name": "Abd-Elfattah Kalmoush",
      "orcid": "0000-0001-6927-223X"
    },
    {
      "affs": [
        6,
        2
      ],
      "name": "Mahmoud Ashraf Hussein",
      "orcid": "0009-0001-6582-4292"
    },
    {
      "affs": [
        3
      ],
      "name": "Ahmed Abo Elmagd",
      "orcid": "0009-0004-4428-3310"
    },
    {
      "affs": [
        7
      ],
      "name": "Khaled Gawdat",
      "orcid": "0009-0002-2783-0402"
    },
    {
      "affs": [
        3
      ],
      "name": "Ahmed Abokhozima",
      "orcid": "0000-0003-0921-0904"
    },
    {
      "name": "Abdelhafez Selim"
    },
    {
      "name": "Abdelhafez Selim"
    },
    {
      "name": "Abduh Elbanna"
    },
    {
      "name": "Abdelfattah Abozaid"
    },
    {
      "name": "Ahmed Abdelsalam"
    },
    {
      "name": "Ahmed Aboelmagd"
    },
    {
      "name": "Ahmed Alghamery"
    },
    {
      "name": "Ahmed Badawy"
    },
    {
      "name": "Ahmed El Assal"
    },
    {
      "name": "Ahmed Elfeky"
    },
    {
      "name": "Ahmed Fadaly"
    },
    {
      "name": "Ahmed Farid Ahmed"
    },
    {
      "name": "Ahmed Hamza"
    },
    {
      "name": "Ahmed Hassan Mohamed Soliman"
    },
    {
      "name": "Ahmed Hosny Darwish"
    },
    {
      "name": "Ahmed Khalil"
    },
    {
      "name": "Ahmed M. Kandel"
    },
    {
      "name": "Ahmed Mehrez Gad"
    },
    {
      "name": "Ahmed Mohammed Abdelfatah Ali"
    },
    {
      "name": "Ahmed Shibl"
    },
    {
      "name": "Ahmed Taher"
    },
    {
      "name": "Aiman Mandour Ismaeil"
    },
    {
      "name": "Alaa Abbas"
    },
    {
      "name": "Alaa Abdelaty Mahmoud"
    },
    {
      "name": "Alaa Amer"
    },
    {
      "name": "Alaa Badawy"
    },
    {
      "name": "Alaa Sewefy"
    },
    {
      "name": "Aliaa Selim"
    },
    {
      "name": "Amr Madyan"
    },
    {
      "name": "Ashraf Elattar"
    },
    {
      "name": "Ayman Abou Shmeila"
    },
    {
      "name": "Ayman El-Wakeel"
    },
    {
      "name": "Ayman M. Elwan"
    },
    {
      "name": "Emad Abdullah"
    },
    {
      "name": "Eslam Habib"
    },
    {
      "name": "Gamal Maher El Sayed Tofaha"
    },
    {
      "name": "George Ezzat Fahmy Hanna Yacoup"
    },
    {
      "name": "Haitham H. Mohy"
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    {
      "name": "Hamdi Elbelkasi"
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    {
      "name": "Hamdy Sedky"
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    {
      "name": "Hany Armia Balamoun"
    },
    {
      "name": "Hesham A. Elmeligy"
    },
    {
      "name": "Hesham Abdallah"
    },
    {
      "name": "Hosam M. Elghadban"
    },
    {
      "name": "Hosam M. Hamza"
    },
    {
      "name": "Hossam Ramadan Moussa"
    },
    {
      "name": "Husseiny Nabil"
    }
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  "bibtex": "https://research.draconitic.com/paper/5k3amcvcsqg0g.bib",
  "cited_by": 0,
  "doi": "10.1007/s11695-026-08907-8",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13714138/",
  "id": "5k3amcvcsqg0g",
  "issns": [
    "0960-8923",
    "1708-0428"
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  "landing_url": "https://doi.org/10.1007/s11695-026-08907-8",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2746|Bariatric Surgery and Outcomes"
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  "openalex": "W7219824074",
  "pdf_url": "https://link.springer.com/content/pdf/10.1007/s11695-026-08907-8.pdf",
  "pmcid": "PMC13714138",
  "pmid": "42830378",
  "published": "2026-10-05",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/5k3amcvcsqg0g.ris",
  "sources": [
    {
      "first_seen": "2026-11-01T12:21:41Z",
      "native_id": "PMC13714138",
      "source": "pmc",
      "url": "https://doi.org/10.1007/s11695-026-08907-8"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Bariatric Surgery and Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Surgeons and Experts’ Perspectives in Concomitant Bariatric Surgery with Cholecystectomy: Bari-Chole Egypt Survey",
  "title_text": "Surgeons and Experts’ Perspectives in Concomitant Bariatric Surgery with Cholecystectomy: Bari-Chole Egypt Survey",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:21:41Z",
  "url": "https://research.draconitic.com/paper/5k3amcvcsqg0g",
  "venue": "Obesity Surgery",
  "versions": []
}