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Published in: Obesity Surgery 1/2016

01-01-2016 | Review Article

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

Authors: Kamal K. Mahawar, Chetan Parmar, Yitka Graham, Ayman Abouleid, William R. J. Carr, Neil Jennings, Norbert Schroeder, Peter K. Small

Published in: Obesity Surgery | Issue 1/2016

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Abstract

Non-alcoholic fatty liver disease and non-alcoholic steato-hepatitis are common in patients undergoing bariatric surgery. Non-alcoholic steato-hepatitis can progress to cirrhosis of the liver and hepatocellular carcinoma. Non-invasive methods of diagnosing non-alcoholic steato-hepatitis are not as accurate as liver biopsy, and bariatric surgery presents a unique opportunity to carry out a simultaneous liver biopsy. Routine liver biopsy can help early and accurate diagnosis of obesity-associated liver conditions. This has led some surgeons to argue for routine liver biopsy at the time of bariatric surgery. However, most bariatric surgeons remain unconvinced and liver biopsy is currently not routine practice with bariatric surgery. This review examines published scientific literature to ascertain the usefulness of routine liver biopsy at the time of bariatric surgery.
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Metadata
Title
Routine Liver Biopsy During Bariatric Surgery: an Analysis of Evidence Base
Authors
Kamal K. Mahawar
Chetan Parmar
Yitka Graham
Ayman Abouleid
William R. J. Carr
Neil Jennings
Norbert Schroeder
Peter K. Small
Publication date
01-01-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1916-z

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