Obesity Management of Liver Transplant Waitlist Candidates and Recipients

被引：13

作者：

Brandman, Danielle ^{[1
]}

机构：

[1] Univ Calif San Francisco, Dept Med, Div Gastroenterol, 513 Parnassus Ave,Box 0538,Room S357, San Francisco, CA 94143 USA

来源：

CLINICS IN LIVER DISEASE | 2021年 / 25卷 / 01期

关键词：

Obesity; Liver transplantation; NAFLD; Bariatric surgery; LAPAROSCOPIC SLEEVE GASTRECTOMY; LONG-TERM OUTCOMES; BODY-MASS INDEX; CARDIOVASCULAR RISK-FACTORS; SINGLE-CENTER EXPERIENCE; NONALCOHOLIC STEATOHEPATITIS; BARIATRIC SURGERY; MORBID-OBESITY; METABOLIC SYNDROME; PATIENT SURVIVAL;

D O I：

10.1016/j.cld.2020.08.001

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Obesity is increasing in prevalence in liver transplant candidates and recipients. The rise in liver transplantation for nonalcoholic steatohepatitis reflects this increase. Management of obesity in liver transplant candidates can be challenging due to the presence of decompensated cirrhosis and sarcopenia. Obesity may increase peritransplant morbidity but does not have an impact on long-term post-transplant survival. Bariatric surgery may be a feasible option in select patients before, during, or after liver transplantation. Use of weight loss drugs and/or endoscopic therapies for obesity management ultimately may play a role in liver transplant patients, but more research is needed to determine safety. © 2020 Elsevier Inc.

引用

页码：1 / 18

页数：18

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