2021
DOI: 10.1016/j.jceh.2020.05.008
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Successful Outcome of Bariatric Surgery in Living Donor Liver Transplant Recipients With Multidisciplinary Approach: A Preliminary Experience

Abstract: Introduction: Liver transplant recipients may develop weight gain, metabolic syndrome, and subsequent nonalcoholic steatohepatitis of the transplanted liver which impairs graft function. Bariatric surgery is an effective modality for management of morbid obesity and metabolic syndrome. Our aim is to review the role of bariatric surgery in such high-risk posttransplant patients not responding to medical management and highlight the important considerations. Methodology: We review the management of two cases wit… Show more

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Cited by 8 publications
(6 citation statements)
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“…Steatosis is also considered one of the major causes of donor exclusion in livingdonor liver transplantation programs [116]. Thus, several protocols have been proposed to reverse steatosis to enlarge the pool of liver living donors.…”
Section: Clearing Steatosis Prior To Liver Surgerymentioning
confidence: 99%
“…Steatosis is also considered one of the major causes of donor exclusion in livingdonor liver transplantation programs [116]. Thus, several protocols have been proposed to reverse steatosis to enlarge the pool of liver living donors.…”
Section: Clearing Steatosis Prior To Liver Surgerymentioning
confidence: 99%
“…In a case report study on a 51-year-old male liver recipient, he was diagnosed with steatohepatitis of the graft, gained 30 kg after organ transplant, and was on an oral hypoglycemic agent with HbA1c of 8%. After laparoscopic SG, completed remission in diabetes, reduction in BMI from 42 to 34, and stable graft functions were reported[ 19 ]. In one of the most recent studies on 19 cases with prior liver transplant undergoing SG or robotic RYGB, one patient was readmitted for abdominal pain owing to gastric ulcer[ 14 ] and related comorbidities were decreased in most of patients[ 10 , 14 ].…”
Section: Liver Transplantation and Gastric Bypassmentioning
confidence: 99%
“…No leaks were documented in either group[ 14 ]. The comorbidity-related medications were decreased in other cases[ 1 , 19 ].…”
Section: Heart Transplantation and Sleeve Gastrectomymentioning
confidence: 99%
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“…Steatosis is also considered one of the major causes of donor exclusion in living-donor liver transplantation programs [72]. Thus, several protocols have been proposed to reverse steatosis to enlarge the pool of liver living donors [73].…”
Section: Clearing Steatosis Prior Liver Surgerymentioning
confidence: 99%