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ABSTRACT: Background
Cholecystectomy is a common surgical procedure for gallbladder diseases. Removal of the gallbladder alters bile flow and may affect the absorption of fat-soluble vitamins, especially vitamin D, which could influence bone metabolism. However, epidemiological studies have yielded inconsistent findings regarding its association with osteoporosis and fractures.Objectives
To systematically evaluate the association between cholecystectomy and the risks of osteoporosis and fractures, and to examine potential effect modification by age.Design
Systematic review and meta-analysis of cohort studies.Methods
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, cohort studies published up to June 1, 2025, were identified
SUBMITTER: Sun G
PROVIDER: S-EPMC12639220 | biostudies-literature | 2025
REPOSITORIES: biostudies-literature