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01-05-2021 | Sleeve Gastrectomy | Review

Outcomes of Bariatric Surgery in Patients with Liver Cirrhosis: a Systematic Review

Authors: Saleem Ahmed, Sjaak Pouwels, Chetan Parmar, Radwan Kassir, Maurizio de Luca, Yitka Graham, Kamal Mahawar, for the Global Bariatric Research Collaborative

Published in: Obesity Surgery | Issue 5/2021

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.

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Title: Outcomes of Bariatric Surgery in Patients with Liver Cirrhosis: a Systematic Review
Authors: Saleem Ahmed
Sjaak Pouwels
Chetan Parmar
Radwan Kassir
Maurizio de Luca
Yitka Graham
Kamal Mahawar
for the Global Bariatric Research Collaborative
Publication date: 01-05-2021
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Liver Cirrhosis
Ascites
Published in: Obesity Surgery / Issue 5/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-021-05289-x

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Outcomes of Bariatric Surgery in Patients with Liver Cirrhosis: a Systematic Review

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