Author’s Reply to “Liver Dysfunction with Both Roux-en-Y and One Anastomosis Gastric Bypass Is Almost Exclusively Seen with Longer Than Standard Limb Lengths” by Kamal K. Mahawar

Excerpt

We would like to thank Dr. Mahawar for his interest in our article and letter to the editor [1]. The corresponding publication by Eilenberg and colleagues [2] reports a case series of consecutive in- and outpatients who presented with severe liver dysfunction after different types of gastric bypass from March 2014 through February 2017 performed at our center or elsewhere. For the first time, we reported the occurrence of severe liver function impairment after one anastomosis gastric bypass (OAGB) in five cases. Furthermore, the same clinical picture was observed in five patients after Roux-en-Y gastric bypass (RYGB) including two cases of distal RYGB. In all patients who received a lengthening of the common limb or reversal of the bypass, which was performed in eight of ten patients, led to an improvement or complete reversal of liver dysfunction within a short time period. …