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- Title
Monitoring of Liver Function Tests after Roux-en-Y Gastric Bypass: An Examination of Evidence Base.
- Authors
Mahawar, Kamal; Parmar, Chetan; Graham, Yitka; Alwis, Nimantha; Carr, William; Jennings, Neil; Small, Peter
- Abstract
There is no consensus on the monitoring of liver function tests after Roux-en-Y gastric bypass (RYGB). Since the main objective of such monitoring would be to diagnose early those who will eventually develop liver failure after RYGB, we performed a systematic review on this topic. An extensive search of literature revealed only 10 such cases in 6 published articles. It would hence appear that liver failure is a rare problem after RYGB. Routine lifelong monitoring of liver function tests is therefore unnecessary for otherwise asymptomatic individuals. Such monitoring should hence be reserved for high-risk groups, such as patients with liver cirrhosis, those undergoing extended limb/distal RYGB, patients with new illnesses, those abusing alcohol, those on hepatotoxic drugs and those presenting with a surgical complication.
- Subjects
GASTRIC bypass; LIVER function tests; PATIENT monitoring; EVIDENCE-based medicine; TREATMENT of cirrhosis of the liver
- Publication
Obesity Surgery, 2016, Vol 26, Issue 10, p2516
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-016-2280-3