Acute Liver Injury and Acute Liver Failure following Bariatric Surgery

Rowan F van Golen; Nadine E de Waard; Laura R Moolenaar; Akin Inderson; Stijn Crobach; Alexandra M J Langers; Bart van Hoek; Maarten E Tushuizen

doi:10.1159/000523964

Acute Liver Injury and Acute Liver Failure following Bariatric Surgery

Case Rep Gastroenterol. 2022 Apr 4;16(1):240-246. doi: 10.1159/000523964. eCollection 2022 Jan-Apr.

Authors

Rowan F van Golen¹, Nadine E de Waard¹, Laura R Moolenaar¹, Akin Inderson¹, Stijn Crobach², Alexandra M J Langers¹, Bart van Hoek¹, Maarten E Tushuizen¹

Affiliations

¹ Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands.
² Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands.

Abstract

Bariatric surgery is the most effective treatment for obesity and improves several manifestations of the metabolic syndrome, including nonalcoholic fatty liver disease. Strict nutritional counseling after bariatric surgery is a key in realizing these outcomes. When postoperative nutrient intake or nutrient uptake is compromised, bariatric surgery can also lead to severe hepatic complications. Here, we describe 3 cases of acute liver injury and acute liver failure caused by bariatric surgery, all with different management strategies and outcomes.

Keywords: Gastric bypass; Liver injury; Liver transplantation; Protein malnutrition; Steatohepatitis.

Publication types

Case Reports