Cholecystectomy and risk of metabolic syndrome

Published: 26 April 2018
Author(s): Agostino Di Ciaula, Gabriella Garruti, David Q.-H. Wang, Piero Portincasa
Issue: April 2018
Section: Narrative Review

The gallbladder physiologically concentrates and stores bile during fasting and provides rhythmic bile secretion both during fasting and in the postprandial phase to solubilize dietary lipids and fat-soluble vitamins. Bile acids (BAs), major lipid components of bile, play a key role as signaling molecules in modulating gene expression related to cholesterol, BA, glucose and energy metabolism. Cholecystectomy is the most commonly performed surgical procedure worldwide in patients who develop symptoms and/or complications of cholelithiasis of any type.