Bariatric Surgery and Liver Transplantation: a Systematic Review a New Frontier for Bariatric Surgery

Andrea Lazzati, Antonio Iannelli, Anne Sophie Schneck, Anaïs Charles Nelson, Sandrine Katsahian, Jean Gugenheim, Daniel Azoulay

Research output: Contribution to journalReview ArticleResearchpeer-review

76 Citations (Scopus)

Abstract

This study aims to conduct a systematic review on bariatric surgery (BS) for patients in the setting of liver transplantation (LT). A literature review was conducted on the PubMed, Embase, and Cochrane Library databases. Studies in the English language on adults reporting on BS prior to, during, or after LT were included. Eleven studies with 56 patients were retrieved. Two studies reported on BS before, two during, and seven after LT. Sleeve gastrectomy was the most common procedure, followed by Roux-en-Y gastric bypass, biliopancreatic diversion, and gastric banding. The overall mortality rate was nil in the early postoperative period and 5.3 % in the first postoperative year. The reoperation rate was 12.2 %. Obesity surgery seems feasible in this population, but mortality and morbidity are higher.

Original languageEnglish
Pages (from-to)134-142
Number of pages9
JournalObesity Surgery
Volume25
Issue number1
DOIs
Publication statusPublished - 1 Jan 2015
Externally publishedYes

Keywords

  • Bariatric surgery
  • Liver transplantation
  • Metabolic syndrome
  • Non-alcoholic steatohepatitis
  • Obesity
  • Sleeve gastrectomy

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