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- Title
Outcomes of Bariatric Surgery in Patients with Liver Cirrhosis: a Systematic Review.
- Authors
Ahmed, Saleem; Pouwels, Sjaak; Parmar, Chetan; Kassir, Radwan; de Luca, Maurizio; Graham, Yitka; Mahawar, Kamal
- Abstract
Obesity is commonly associated with non-alcoholic fatty liver disease and is a significant cause of chronic liver disease and cirrhosis. Some patients undergoing bariatric surgery suffer from cirrhosis of the liver. Currently, there is a lack of consensus on the management of these patients and the safety and efficacy of bariatric surgery in this group. This review aims to update our previously published systematic review on the same topic. A total of 21 studies reporting experience on patients with cirrhosis undergoing bariatric surgery were included. Sleeve gastrectomy was the most common surgery performed, followed by Roux-en-Y gastric bypass. The results show that bariatric surgery may be feasible in carefully selected patients with obesity and cirrhosis although they have slightly higher morbidity and mortality rates.
- Subjects
GASTRIC bypass; LIVER surgery; BARIATRIC surgery; CIRRHOSIS of the liver; FATTY liver; SLEEVE gastrectomy; DRUG efficacy
- Publication
Obesity Surgery, 2021, Vol 31, Issue 5, p2255
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05289-x