Liver transplantation in a case of steatohepatitis and subacute hepatic failure after biliopancreatic diversion for morbid obesity.
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.
Castillo
J
J
Liver Transplantation Unit, Hospital Universitario Marqués de Valdecilla, Santander, Spain. jcastillod@mundivia.es
Fábrega
E
E
Escalante
C F
CF
Sanjuan
J C
JC
Herrera
L
L
Hernánz
F
F
Martino
E
E
Casafont
F
F
Gómez Fleitas
M
M
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*