Liver Transplantation and Bariatric Surgery: Best Approach

Duminda Suraweera; Erik Dutson; Sammy Saab

doi:10.1016/j.cld.2016.12.001

Liver Transplantation and Bariatric Surgery: Best Approach

Clin Liver Dis. 2017 May;21(2):215-230. doi: 10.1016/j.cld.2016.12.001.

Authors

Duminda Suraweera¹, Erik Dutson², Sammy Saab³

Affiliations

¹ Department of Medicine, Olive-View Medical Center, 14445 Olive View Drive, 2B-182, Sylmar, CA 91342, USA.
² Department of Surgery, University of California at Los Angeles, 200 Medical Plaza, Suite 214, Los Angeles, CA 90095, USA.
³ Department of Surgery, University of California at Los Angeles, 200 Medical Plaza, Suite 214, Los Angeles, CA 90095, USA; Department of Medicine, University of California at Los Angeles, 200 Medical Plaza, Suite 214, Los Angeles, CA 90095, USA. Electronic address: SSaab@mednet.ucla.edu.

PMID: 28364810
DOI: 10.1016/j.cld.2016.12.001

Abstract

Obesity has become increasingly prevalent, and the number of obese patients in need of liver transplant is expected to continue to increase. In addition, liver disease due to nonalcoholic fatty liver disease is expected to become the leading cause of liver transplantation in the near future. However, obesity remains a relative contraindication in liver transplant. New strategies in managing this patient population are clearly needed. To this end, the authors review the current literature on the efficacy of bariatric surgery in the setting of liver transplantation in obese patients.

Keywords: Bariatric surgery; Cirrhosis; Liver transplantation; NASH; Obesity.

Publication types

Review

MeSH terms

Bariatric Surgery*
Comorbidity / trends
End Stage Liver Disease / epidemiology
End Stage Liver Disease / surgery*
Global Health
Humans
Liver Transplantation*
Obesity / epidemiology
Obesity / surgery*
Weight Loss*