Sleeve gastrectomy as treatment for severe obesity after orthotopic liver transplantation.
Obesity is highly prevalent in both liver transplant candidates and recipients, and can have a significant impact on perioperative morbidity and mortality and the overall cost of transplantation. Herein, we describe an obese patient who was managed sequentially with an intragastric balloon in the pre-transplant setting and a gastric sleeve following transplantation, with good long-term results. Sleeve gastrectomy is a non-malabsorptive bariatric procedure with potential benefit for liver transplant patients due to its lack of influence on the absorption of immunosuppressive agents.
Butte
Jean M
JM
Department of Digestive Surgery, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Devaud
Nicolás
N
Jarufe
Nicolás P
NP
Boza
Camilo
C
Pérez
Gustavo
G
Torres
Javiera
J
Pérez-Ayuso
Rosa M
RM
Arrese
Marco
M
Martínez
Jorge
J
D005743:Gastrectomy / Q000379:methods*; D015905:Gastric Balloon; D006801:Humans; D017093:Liver Failure / Q000150:complications* / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery*