Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysis

Background: Several observational studies suggest a potential association between cholecystectomy and the risk of developing microscopic colitis (MC). However, the current findings remain inconsistent. Objectives: To address this discrepancy, we conducted a systematic review and meta-analysis to com...

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Main Authors: Zhaoxu Tian, Hongying Tang, Guoming Sun, Jianjun Shen, Yangri Duan, Hangbin Jin
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:Therapeutic Advances in Gastroenterology
Online Access:https://doi.org/10.1177/17562848251357067
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author Zhaoxu Tian
Hongying Tang
Guoming Sun
Jianjun Shen
Yangri Duan
Hangbin Jin
author_facet Zhaoxu Tian
Hongying Tang
Guoming Sun
Jianjun Shen
Yangri Duan
Hangbin Jin
author_sort Zhaoxu Tian
collection DOAJ
description Background: Several observational studies suggest a potential association between cholecystectomy and the risk of developing microscopic colitis (MC). However, the current findings remain inconsistent. Objectives: To address this discrepancy, we conducted a systematic review and meta-analysis to comprehensively assess the association between cholecystectomy and the risk of MC. Design: Systematic review and meta-analysis. Data sources and methods: A systematic search of PubMed, Embase, and Web of Science was conducted to identify studies evaluating the association between cholecystectomy and MC risk. Studies were eligible if they reported effect estimates or provided sufficient data for calculation. Two independent authors extracted the data and assessed the quality of included studies. A random-effects model was used to pool odds ratios (ORs), with subgroup analyses performed according to patient characteristics and study quality. Results: Six observational studies were included in the final analysis. The pooled OR was 0.80 (95% confidence interval: 0.52–1.22), and sensitivity analysis confirmed the robustness of the results, indicating no significant association between cholecystectomy and MC risk. Subgroup analyses based on geographic location, study design, study quality, methods of cholecystectomy data collection, control populations, and MC subtypes consistently showed no significant association. Conclusion: Current evidence suggests no statistically significant association between cholecystectomy and the risk of MC. Future research should include populations with diverse geographic and ethnic backgrounds, utilize medical records for accurate surgical history, and account for potential confounding factors. Large-scale prospective studies will be essential to obtain more reliable and definitive conclusions. Trial PROSPERO registration: CRD42024592056.
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spelling doaj-art-d3103a26afc240e1af9b71d015f0eaf12025-08-20T02:50:33ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-28482025-07-011810.1177/17562848251357067Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysisZhaoxu TianHongying TangGuoming SunJianjun ShenYangri DuanHangbin JinBackground: Several observational studies suggest a potential association between cholecystectomy and the risk of developing microscopic colitis (MC). However, the current findings remain inconsistent. Objectives: To address this discrepancy, we conducted a systematic review and meta-analysis to comprehensively assess the association between cholecystectomy and the risk of MC. Design: Systematic review and meta-analysis. Data sources and methods: A systematic search of PubMed, Embase, and Web of Science was conducted to identify studies evaluating the association between cholecystectomy and MC risk. Studies were eligible if they reported effect estimates or provided sufficient data for calculation. Two independent authors extracted the data and assessed the quality of included studies. A random-effects model was used to pool odds ratios (ORs), with subgroup analyses performed according to patient characteristics and study quality. Results: Six observational studies were included in the final analysis. The pooled OR was 0.80 (95% confidence interval: 0.52–1.22), and sensitivity analysis confirmed the robustness of the results, indicating no significant association between cholecystectomy and MC risk. Subgroup analyses based on geographic location, study design, study quality, methods of cholecystectomy data collection, control populations, and MC subtypes consistently showed no significant association. Conclusion: Current evidence suggests no statistically significant association between cholecystectomy and the risk of MC. Future research should include populations with diverse geographic and ethnic backgrounds, utilize medical records for accurate surgical history, and account for potential confounding factors. Large-scale prospective studies will be essential to obtain more reliable and definitive conclusions. Trial PROSPERO registration: CRD42024592056.https://doi.org/10.1177/17562848251357067
spellingShingle Zhaoxu Tian
Hongying Tang
Guoming Sun
Jianjun Shen
Yangri Duan
Hangbin Jin
Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysis
Therapeutic Advances in Gastroenterology
title Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysis
title_full Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysis
title_fullStr Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysis
title_full_unstemmed Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysis
title_short Cholecystectomy and the risk of microscopic colitis: a systematic review and meta-analysis
title_sort cholecystectomy and the risk of microscopic colitis a systematic review and meta analysis
url https://doi.org/10.1177/17562848251357067
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