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

被引：35

作者：

Ahmed, Saleem ^{[1
]}

Pouwels, Sjaak ^{[2
]}

Parmar, Chetan ^{[3
,4
]}

Kassir, Radwan ^{[5
]}

de Luca, Maurizio ^{[6
,7
]}

Graham, Yitka ^{[8
,9
]}

Mahawar, Kamal ^{[8
,9
]}

机构：

[1] Tan Tock Seng Hosp, Dept Gen Surg, Singapore, Singapore

[2] Elisabeth Tweesteden Hosp, Dept Intens Care Med, Tilburg, Netherlands

[3] Univ Coll London Hosp NHS Fdn Trust, Dept Surg, London, England

[4] Whittington Hosp NHS Trust, Dept Surg, London, England

[5] CHU Felix Guyon, Allee Topazes, St Denis, France

[6] Castelfranco Hosp, Dept Surg, Treviso, Italy

[7] Montebelluna Hosp, Dept Surg, Treviso, Italy

[8] Univ Sunderland, Fac Hlth Sci & Wellbeing, Sunderland, England

[9] South Tyneside & Sunderland NHS Fdn Trust, Bariatr Unit, Sunderland, England

来源：

OBESITY SURGERY | 2021年 / 31卷 / 05期

关键词：

Bariatric surgery; Metabolic surgery; Cirrhosis; Child-Pugh classification;

D O I：

10.1007/s11695-021-05289-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：2255 / 2267

页数：13

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