title: Liver transplantation in a case of steatohepatitis and subacute hepatic failure after biliopancreatic diversion for morbid obesity.
abstract: BACKGROUND
  Biliopancreatic diversion (BPD) was designed to avoid the serious complications of jejunoileal bypass (steatohepatitis and hepatic failure). Although this is today considered a safe and effective procedure, a few reports of patients who developed steatohepatitis and subsequently died in hepatic failure exist.
  
  
  METHODS
  We report a morbidity obese patient who developed subacute hepatitis resulting in hepatic failure 1 year after BPD.
  
  
  RESULTS
  Because of irreversible liver failure the decision to perform a liver transplantation was made. The patient underwent emergency liver transplant and lengthening of the common limb. The course of liver transplantation and the patient's recovery were uneventful.
  
  
  CONCLUSIONS
  Severe liver disease may rarely follow BPD. Liver transplantation and lengthening of the common bowel may be performed to treat these patients.
authors.affiliation: Liver Transplantation Unit, Hospital Universitario Marqués de Valdecilla, Santander, Spain. jcastillod@mundivia.es
authors.forename: J
authors.initials: J
authors.lastname: Castillo
authors.forename: E
authors.initials: E
authors.lastname: Fábrega
authors.forename: C F
authors.initials: CF
authors.lastname: Escalante
authors.forename: J C
authors.initials: JC
authors.lastname: Sanjuan
authors.forename: L
authors.initials: L
authors.lastname: Herrera
authors.forename: F
authors.initials: F
authors.lastname: Hernánz
authors.forename: E
authors.initials: E
authors.lastname: Martino
authors.forename: F
authors.initials: F
authors.lastname: Casafont
authors.forename: M
authors.initials: M
authors.lastname: Gómez Fleitas
mesh_terms: D000328:Adult; D015904:Biliopancreatic Diversion; D005234:Fatty Liver / Q000209:etiology; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology; D006801:Humans; D017093:Liver Failure / Q000209:etiology* / Q000601:surgery; D016031:Liver Transplantation; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*