title: Bariatric surgery and liver transplantation: a systematic review a new frontier for bariatric surgery.
abstract: This study aims to conduct a systematic review on bariatric surgery (BS) for patients in the setting of liver transplantation (LT). A literature review was conducted on the PubMed, Embase, and Cochrane Library databases. Studies in the English language on adults reporting on BS prior to, during, or after LT were included. Eleven studies with 56 patients were retrieved. Two studies reported on BS before, two during, and seven after LT. Sleeve gastrectomy was the most common procedure, followed by Roux-en-Y gastric bypass, biliopancreatic diversion, and gastric banding. The overall mortality rate was nil in the early postoperative period and 5.3 % in the first postoperative year. The reoperation rate was 12.2 %. Obesity surgery seems feasible in this population, but mortality and morbidity are higher.
authors.affiliation: Department of Digestive Surgery, Centre Hospitalier Intercommunal de Créteil, 40 avenue de Verdun, 94000, Créteil, France.
authors.forename: Andrea
authors.initials: A
authors.lastname: Lazzati
authors.forename: Antonio
authors.initials: A
authors.lastname: Iannelli
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Schneck
authors.forename: Anaïs Charles
authors.initials: AC
authors.lastname: Nelson
authors.forename: Sandrine
authors.initials: S
authors.lastname: Katsahian
authors.forename: Jean
authors.initials: J
authors.lastname: Gugenheim
authors.forename: Daniel
authors.initials: D
authors.lastname: Azoulay
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects / Q000401:mortality / Q000639:trends; D015904:Biliopancreatic Diversion / Q000379:methods; D015897:Comorbidity; D016208:Databases, Factual; D005743:Gastrectomy / Q000379:methods / Q000401:mortality; D015390:Gastric Bypass / Q000401:mortality; D006801:Humans; D017093:Liver Failure / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects / Q000401:mortality; D009767:Obesity, Morbid / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D011184:Postoperative Period; D016019:Survival Analysis