Skip to main content
Top
Published in: Obesity Surgery 1/2015

01-01-2015 | Review Article

Bariatric Surgery and Liver Transplantation: a Systematic Review a New Frontier for Bariatric Surgery

Authors: Andrea Lazzati, Antonio Iannelli, Anne-Sophie Schneck, Anaïs Charles Nelson, Sandrine Katsahian, Jean Gugenheim, Daniel Azoulay

Published in: Obesity Surgery | Issue 1/2015

Login to get access

Abstract

This study aims to conduct a systematic review on bariatric surgery (BS) for patients in the setting of liver transplantation (LT). A literature review was conducted on the PubMed, Embase, and Cochrane Library databases. Studies in the English language on adults reporting on BS prior to, during, or after LT were included. Eleven studies with 56 patients were retrieved. Two studies reported on BS before, two during, and seven after LT. Sleeve gastrectomy was the most common procedure, followed by Roux-en-Y gastric bypass, biliopancreatic diversion, and gastric banding. The overall mortality rate was nil in the early postoperative period and 5.3 % in the first postoperative year. The reoperation rate was 12.2 %. Obesity surgery seems feasible in this population, but mortality and morbidity are higher.
Appendix
Available only for authorised users
Literature
2.
go back to reference Blackburn GL, Mun EC. Effects of weight loss surgeries on liver disease. Semin Liver Dis. 2004;24(4):371–9.PubMedCrossRef Blackburn GL, Mun EC. Effects of weight loss surgeries on liver disease. Semin Liver Dis. 2004;24(4):371–9.PubMedCrossRef
4.
go back to reference Nomura H, Kashiwagi S, Hayashi J, et al. Prevalence of fatty liver in a general population of Okinawa, Japan. Jpn J Med. 1988;27(2):142–9.PubMedCrossRef Nomura H, Kashiwagi S, Hayashi J, et al. Prevalence of fatty liver in a general population of Okinawa, Japan. Jpn J Med. 1988;27(2):142–9.PubMedCrossRef
5.
go back to reference Bellentani S, Saccoccio G, Masutti F, et al. Prevalence of and risk factors for hepatic steatosis in Northern Italy. Ann Intern Med. 2000;132(2):112–7.PubMedCrossRef Bellentani S, Saccoccio G, Masutti F, et al. Prevalence of and risk factors for hepatic steatosis in Northern Italy. Ann Intern Med. 2000;132(2):112–7.PubMedCrossRef
6.
go back to reference Luyckx FH, Desaive C, Thiry A, et al. Liver abnormalities in severely obese subjects: effect of drastic weight loss after gastroplasty. Int J Obes Relat Metab Disord. 1998;22(3):222–6.PubMedCrossRef Luyckx FH, Desaive C, Thiry A, et al. Liver abnormalities in severely obese subjects: effect of drastic weight loss after gastroplasty. Int J Obes Relat Metab Disord. 1998;22(3):222–6.PubMedCrossRef
9.
go back to reference Angulo P. Nonalcoholic fatty liver disease and liver transplantation. Liver Transpl. 2006;12(4):523–34.PubMedCrossRef Angulo P. Nonalcoholic fatty liver disease and liver transplantation. Liver Transpl. 2006;12(4):523–34.PubMedCrossRef
11.
go back to reference Perkins JD. Influence of obesity with concurrent diseases on liver transplant survival. Liver Transpl. 2007;13(6):928–9.PubMedCrossRef Perkins JD. Influence of obesity with concurrent diseases on liver transplant survival. Liver Transpl. 2007;13(6):928–9.PubMedCrossRef
14.
go back to reference Burke GW, Cirocco R, Hensley G, et al. Liver transplantation for cirrhosis following jejuno-ileal bypass—regional cytokine differences associated with pathological changes in the transplant liver. Transplantation. 1992;54(2):374–7.PubMedCrossRef Burke GW, Cirocco R, Hensley G, et al. Liver transplantation for cirrhosis following jejuno-ileal bypass—regional cytokine differences associated with pathological changes in the transplant liver. Transplantation. 1992;54(2):374–7.PubMedCrossRef
15.
go back to reference D’Albuquerque L. Liver transplantation for subacute hepatocellular failure due to massive steatohepatitis after bariatric surgery. Liver Transplant. 2008;14(6):881–5. doi:10.1002/lt.21472.CrossRef D’Albuquerque L. Liver transplantation for subacute hepatocellular failure due to massive steatohepatitis after bariatric surgery. Liver Transplant. 2008;14(6):881–5. doi:10.​1002/​lt.​21472.CrossRef
16.
go back to reference D’Souza-Gburek SM, Batts KP, Nikias GA, et al. Liver transplantation for jejunoileal bypass-associated cirrhosis: allograft histology in the setting of an intact bypassed limb. Liver Transpl Surg. 1997;3(1):23–7.PubMed D’Souza-Gburek SM, Batts KP, Nikias GA, et al. Liver transplantation for jejunoileal bypass-associated cirrhosis: allograft histology in the setting of an intact bypassed limb. Liver Transpl Surg. 1997;3(1):23–7.PubMed
17.
go back to reference Lowell JA, Shenoy S, Ghalib R, et al. Liver transplantation after jejunoileal bypass for morbid obesity. J Am Coll Surg. 1997;185(2):123–7.PubMedCrossRef Lowell JA, Shenoy S, Ghalib R, et al. Liver transplantation after jejunoileal bypass for morbid obesity. J Am Coll Surg. 1997;185(2):123–7.PubMedCrossRef
18.
go back to reference Castillo J, Fábrega E, Escalante CF, et al. Liver transplantation in a case of steatohepatitis and subacute hepatic failure after biliopancreatic diversion for morbid obesity. Obes Surg. 2001;11(5):640–2.PubMedCrossRef Castillo J, Fábrega E, Escalante CF, et al. Liver transplantation in a case of steatohepatitis and subacute hepatic failure after biliopancreatic diversion for morbid obesity. Obes Surg. 2001;11(5):640–2.PubMedCrossRef
19.
go back to reference Markowitz JS, Seu P, Goss JA, et al. Liver transplantation for decompensated cirrhosis after jejunoileal bypass: a strategy for management. Transplantation. 1998;65(4):570–2.PubMedCrossRef Markowitz JS, Seu P, Goss JA, et al. Liver transplantation for decompensated cirrhosis after jejunoileal bypass: a strategy for management. Transplantation. 1998;65(4):570–2.PubMedCrossRef
24.
go back to reference Tichansky DS, Madan AK. Laparoscopic Roux-en-Y gastric bypass is safe and feasible after orthotopic liver transplantation. Obes Surg. 2005;15(10):1481–6.PubMedCrossRef Tichansky DS, Madan AK. Laparoscopic Roux-en-Y gastric bypass is safe and feasible after orthotopic liver transplantation. Obes Surg. 2005;15(10):1481–6.PubMedCrossRef
28.
go back to reference Butte JM, Devaud N, Jarufe NP, et al. Sleeve gastrectomy as treatment for severe obesity after orthotopic liver transplantation. Obes Surg. 2007;17(11):1517–9.PubMedCrossRef Butte JM, Devaud N, Jarufe NP, et al. Sleeve gastrectomy as treatment for severe obesity after orthotopic liver transplantation. Obes Surg. 2007;17(11):1517–9.PubMedCrossRef
30.
go back to reference Duchini A, Brunson ME. Roux-en-Y gastric bypass for recurrent nonalcoholic steatohepatitis in liver transplant recipients with morbid obesity. Transplantation. 2001;72(1):156–9.PubMedCrossRef Duchini A, Brunson ME. Roux-en-Y gastric bypass for recurrent nonalcoholic steatohepatitis in liver transplant recipients with morbid obesity. Transplantation. 2001;72(1):156–9.PubMedCrossRef
32.
go back to reference O’Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94. doi:10.1097/SLA.0b013e31827b6c02.PubMedCrossRef O’Brien PE, MacDonald L, Anderson M, et al. Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg. 2013;257(1):87–94. doi:10.​1097/​SLA.​0b013e31827b6c02​.PubMedCrossRef
34.
35.
go back to reference Sarkhosh K, Birch DW, Sharma A, et al. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg. 2013;56(5):347–52.PubMedCentralPubMedCrossRef Sarkhosh K, Birch DW, Sharma A, et al. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg. 2013;56(5):347–52.PubMedCentralPubMedCrossRef
36.
go back to reference Marterre WF, Hariharan S, First MR, et al. Gastric bypass in morbidly obese kidney transplant recipients. Clin Transplant. 1996;10(5):414–9.PubMed Marterre WF, Hariharan S, First MR, et al. Gastric bypass in morbidly obese kidney transplant recipients. Clin Transplant. 1996;10(5):414–9.PubMed
37.
go back to reference Alexander JW, Goodman H. Gastric bypass in chronic renal failure and renal transplant. Nutr Clin Pract. 2007;22(1):16–21.PubMedCrossRef Alexander JW, Goodman H. Gastric bypass in chronic renal failure and renal transplant. Nutr Clin Pract. 2007;22(1):16–21.PubMedCrossRef
39.
go back to reference Verdonk R, Buis C. Anastomotic biliary strictures after liver transplantation: causes and consequences. Liver Transplant. 2006;12(5):726–35.CrossRef Verdonk R, Buis C. Anastomotic biliary strictures after liver transplantation: causes and consequences. Liver Transplant. 2006;12(5):726–35.CrossRef
46.
47.
go back to reference Murray KF, Carithers RL. AASLD practice guidelines: evaluation of the patient for liver transplantation. Hepatology. 2005;41(6):1407–32.PubMedCrossRef Murray KF, Carithers RL. AASLD practice guidelines: evaluation of the patient for liver transplantation. Hepatology. 2005;41(6):1407–32.PubMedCrossRef
49.
go back to reference Dallal RM, Mattar SG, Lord JL, et al. Results of laparoscopic gastric bypass in patients with cirrhosis. Obes Surg. 2004;14(1):47–53.PubMedCrossRef Dallal RM, Mattar SG, Lord JL, et al. Results of laparoscopic gastric bypass in patients with cirrhosis. Obes Surg. 2004;14(1):47–53.PubMedCrossRef
50.
go back to reference Brolin RE, Bradley LJ, Taliwal RV. Unsuspected cirrhosis discovered during elective obesity operations. Arch Surg. 1998;133(1):84–8.PubMedCrossRef Brolin RE, Bradley LJ, Taliwal RV. Unsuspected cirrhosis discovered during elective obesity operations. Arch Surg. 1998;133(1):84–8.PubMedCrossRef
52.
go back to reference Morino M, Toppino M, Forestieri P, et al. Mortality after bariatric surgery. Ann Surg. 2007;246(6):1002–9.PubMedCrossRef Morino M, Toppino M, Forestieri P, et al. Mortality after bariatric surgery. Ann Surg. 2007;246(6):1002–9.PubMedCrossRef
54.
go back to reference Richards J, Gunson B, Johnson J, et al. Weight gain and obesity after liver transplantation. Transpl Int. 2005;18(4):461–6.PubMedCrossRef Richards J, Gunson B, Johnson J, et al. Weight gain and obesity after liver transplantation. Transpl Int. 2005;18(4):461–6.PubMedCrossRef
55.
go back to reference Choudhary N, Saigal S, Saraf N. Innovative approach using an intragastric balloon for weight loss in a morbidly obese patient undergoing liver transplantation. Liver Transplant. 2012;19(2):235. doi:10.1002/lt.23567.CrossRef Choudhary N, Saigal S, Saraf N. Innovative approach using an intragastric balloon for weight loss in a morbidly obese patient undergoing liver transplantation. Liver Transplant. 2012;19(2):235. doi:10.​1002/​lt.​23567.CrossRef
Metadata
Title
Bariatric Surgery and Liver Transplantation: a Systematic Review a New Frontier for Bariatric Surgery
Authors
Andrea Lazzati
Antonio Iannelli
Anne-Sophie Schneck
Anaïs Charles Nelson
Sandrine Katsahian
Jean Gugenheim
Daniel Azoulay
Publication date
01-01-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1430-8

Other articles of this Issue 1/2015

Obesity Surgery 1/2015 Go to the issue