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Literature DB >> 25982807

A Systematic Review of Bariatric Surgery in Patients with Liver Cirrhosis.

Ahmad Jan¹, Mahendra Narwaria, Kamal K Mahawar.

Abstract

Nonalcoholic steatohepatitis is becoming a common cause of liver cirrhosis and a significant number of patients undergoing bariatric surgery suffer with it. There is currently lack of consensus among surgeons regarding safety of bariatric surgery in patients with liver cirrhosis and the best bariatric procedure in these patients. This review investigates published English language scientific literature systematically in an attempt to answer these questions. Eleven studies that reported experience of bariatric surgery in cirrhotic obese patients were included in this review. This review shows an acceptably higher overall risk of complications and perioperative mortality with bariatric surgery in cirrhotic patients. Surgeons must discuss the possibility of an unexpected intraoperative diagnosis of cirrhosis preoperatively with all bariatric surgery patients and agree on a course of action.

Entities: Disease Species

Mesh：

Year: 2015 PMID： 25982807 DOI： 10.1007/s11695-015-1727-2

Source DB: PubMed Journal: Obes Surg ISSN： 0960-8923 Impact factor: 4.129

19 in total

Review 1. NAFLD, obesity, and bariatric surgery.

Authors: Paul Angulo
Journal: Gastroenterology Date: 2006-05 Impact factor: 22.682

2. Liver cirrhosis and bariatric operations.

Authors: Aniceto Baltasar
Journal: Surg Obes Relat Dis Date: 2006 Sep-Oct Impact factor: 4.734

3. Nonalcoholic steatohepatitis (NASH) does not increase complications after laparoscopic bariatric surgery.

Authors: Toby N Weingarten; James M Swain; Michael L Kendrick; Michael R Charlton; Brent J Schroeder; Robert E Citrowske Lee; Bradly J Narr; Tarsila C R Ribeiro; Darrell R Schroeder; Juraj Sprung
Journal: Obes Surg Date: 2011-11 Impact factor: 4.129

4. Obesity is an independent risk factor for clinical decompensation in patients with cirrhosis.

Authors: Annalisa Berzigotti; Guadalupe Garcia-Tsao; Jaime Bosch; Norman D Grace; Andrew K Burroughs; Rosa Morillas; Angels Escorsell; Juan Carlos Garcia-Pagan; David Patch; Daniel S Matloff; Roberto J Groszmann
Journal: Hepatology Date: 2011-06-26 Impact factor: 17.425

5. Liver pathology in morbidly obese patients with and without diabetes.

Authors: J F Silverman; K F O'Brien; S Long; N Leggett; P G Khazanie; W J Pories; H T Norris; J F Caro
Journal: Am J Gastroenterol Date: 1990-10 Impact factor: 10.864

Review 6. Unsuspected cirrhosis discovered during elective obesity operations.

Authors: R E Brolin; L J Bradley; R V Taliwal
Journal: Arch Surg Date: 1998-01

7. Nationwide volume and mortality after elective surgery in cirrhotic patients.

Authors: Nicholas G Csikesz; Louis N Nguyen; Jennifer F Tseng; Shimul A Shah
Journal: J Am Coll Surg Date: 2008-10-31 Impact factor: 6.113

Review 8. Outcomes of patients with cirrhosis undergoing non-hepatic surgery: risk assessment and management.

Authors: Farida Millwala; Geoffrey C Nguyen; Paul J Thuluvath
Journal: World J Gastroenterol Date: 2007-08-14 Impact factor: 5.742

9. Effects of surgical treatment of the metabolic syndrome on liver fibrosis and cirrhosis.

Authors: John G Kral; Swan N Thung; Simon Biron; Frederic-Simon Hould; Stefane Lebel; Simon Marceau; Serge Simard; Picard Marceau
Journal: Surgery Date: 2004-01 Impact factor: 3.982

10. Results of laparoscopic gastric bypass in patients with cirrhosis.

Authors: Ramsey M Dallal; Samer G Mattar; Jeffrey L Lord; Andrew R Watson; Daniel R Cottam; George M Eid; Giselle Hamad; Mordecai Rabinovitz; Philip R Schauer
Journal: Obes Surg Date: 2004-01 Impact factor: 4.129

30 in total

1. Outcomes of Bariatric Surgery in Patients with Cirrhosis.

Authors: Inka Miñambres; Miguel Angel Rubio; Ana de Hollanda; Irene Breton; Nuria Vilarrasa; Silvia Pellitero; Marta Bueno; Albert Lecube; Clara Marcuello; Albert Goday; Maria D Ballesteros; German Soriano; Assumpta Caixàs
Journal: Obes Surg Date: 2019-02 Impact factor: 4.129

2. The impact of cirrhosis and MELD score on postoperative morbidity and mortality among patients selected for liver resection.

Authors: Victor M Zaydfudim; Florence E Turrentine; Mark E Smolkin; Todd B Bauer; Reid B Adams; Timothy L McMurry
Journal: Am J Surg Date: 2020-01-20 Impact factor: 2.565

3. Clinical Characteristics and Outcome of Morbidly Obese Bariatric Patients with Concurrent Hepatitis C Viral Infection.

Authors: Ming-Lun Han; Wei-Jei Lee; Jung-Chien Chen; Kong-Han Ser; Shu-Chun Chen; Yi-Chih Lee
Journal: Obes Surg Date: 2019-03 Impact factor: 4.129

A Systematic Review of Bariatric Surgery in Patients with Liver Cirrhosis.

Review 1. NAFLD, obesity, and bariatric surgery.

2. Liver cirrhosis and bariatric operations.

3. Nonalcoholic steatohepatitis (NASH) does not increase complications after laparoscopic bariatric surgery.

4. Obesity is an independent risk factor for clinical decompensation in patients with cirrhosis.

5. Liver pathology in morbidly obese patients with and without diabetes.

Review 6. Unsuspected cirrhosis discovered during elective obesity operations.

7. Nationwide volume and mortality after elective surgery in cirrhotic patients.

Review 8. Outcomes of patients with cirrhosis undergoing non-hepatic surgery: risk assessment and management.

9. Effects of surgical treatment of the metabolic syndrome on liver fibrosis and cirrhosis.

10. Results of laparoscopic gastric bypass in patients with cirrhosis.

1. Outcomes of Bariatric Surgery in Patients with Cirrhosis.

2. The impact of cirrhosis and MELD score on postoperative morbidity and mortality among patients selected for liver resection.

3. Clinical Characteristics and Outcome of Morbidly Obese Bariatric Patients with Concurrent Hepatitis C Viral Infection.

Review 4. Management of NAFLD: a stage-based approach.

5. Treatment of NASH: What Helps Beyond Weight Loss?

Review 6. Monitoring of Liver Function Tests after Roux-en-Y Gastric Bypass: An Examination of Evidence Base.

7. Bariatric Surgery in Cirrhotic Patients: Is It Safe?

Review 8. Routine Liver Biopsy During Bariatric Surgery: an Analysis of Evidence Base.

Review 9. Current Controversies in Metabolic Surgery for Nonalcoholic Fatty Liver Disease.

10. Bariatric Surgery in Cirrhotic Patients: a Matched Case-Control Study.