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Obesity Surgery

, Volume 25, Issue 8, pp 1518–1526 | Cite as

A Systematic Review of Bariatric Surgery in Patients with Liver Cirrhosis

  • Ahmad Jan
  • Mahendra Narwaria
  • Kamal K. MahawarEmail author
Review Article

Abstract

Nonalcoholic steatohepatitis is becoming a common cause of liver cirrhosis and a significant number of patients undergoing bariatric surgery suffer with it. There is currently lack of consensus among surgeons regarding safety of bariatric surgery in patients with liver cirrhosis and the best bariatric procedure in these patients. This review investigates published English language scientific literature systematically in an attempt to answer these questions. Eleven studies that reported experience of bariatric surgery in cirrhotic obese patients were included in this review. This review shows an acceptably higher overall risk of complications and perioperative mortality with bariatric surgery in cirrhotic patients. Surgeons must discuss the possibility of an unexpected intraoperative diagnosis of cirrhosis preoperatively with all bariatric surgery patients and agree on a course of action.

Keywords

Bariatric surgery Obesity surgery Non-alcoholic steatohepatitis Cirrhosis Roux-en-Y gastric bypass Sleeve gastrectomy Gastric banding Biliopancreatic diversion 

Abbreviations

NAFLD

Non-alcoholic fatty liver disease

NASH

Non-alcoholic steatohepatitis

PRISMA

Preferred reporting items for systematic reviews and meta-analyses

RYGB

Roux-en-Y gastric bypass

SG

Sleeve gastrectomy

BPD

Biliopancreatic diversion

AGB

Adjustable gastric banding

DS

Duodenal switch

TIPS

Transjugular intrahepatic portosystemic shunt

Notes

Conflict of Interest

The authors declare that they have no competing interests.

Author Contribution

KM conceived the idea for the topic and wrote the manuscript. KM and AG independently collected information and analysed it. All authors participated in discussions on the topic. All authors have seen the final version and approve of it.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Ahmad Jan
    • 1
  • Mahendra Narwaria
    • 1
  • Kamal K. Mahawar
    • 2
    Email author
  1. 1.Asian Bariatric HospitalAhemdabadIndia
  2. 2.Bariatric UnitSunderland Royal HospitalSunderlandUK

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