Malnutrition and Alcohol in Patients Presenting with Severe Complications of Cirrhosis After Laparoscopic Bariatric Surgery.

Mendoza, Yuly P.; Becchetti, Chiara; Wan, Tao; Nett, Philipp; Rodrigues, Susana G.; Dufour, Jean-François; Berzigotti, Annalisa (2021). Malnutrition and Alcohol in Patients Presenting with Severe Complications of Cirrhosis After Laparoscopic Bariatric Surgery. Obesity surgery, 31(6), pp. 2817-2822. Springer-Verlag 10.1007/s11695-021-05237-9

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Factors and outcomes associated with decompensation of liver disease and liver failure in obese patients who underwent modern bariatric surgery are unclear. We present here a cohort of seventeen consecutive patients referred because of decompensation of liver disease following laparoscopic bariatric surgery. All patients showed signs of malnutrition (sarcopenia in 76.5%). In ten (58.8%), decompensation was associated with alcohol ingestion, which started after bariatric surgery in six patients. One patient died and three patients required liver transplantation, in one case preceded by transjugular intrahepatic portosystemic shunt (TIPS). However, thirteen patients achieved stabilization or full re-compensation with medical therapy and nutritional support. Our cases underline the risk of alcohol intake and malnutrition after laparoscopic bariatric surgery as causes of severe liver decompensation and underline the need for careful interdisciplinary care of these patients after surgery to early identify and treat alcohol misuse, malnutrition, and liver disease.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Hepatology
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR)
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Hepatologie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Hepatologie

UniBE Contributor:

Mendoza Jaimes, Yuly Paulin; Becchetti, Chiara; Wan, Tao; Nett, Philipp C.; Gomes Rodrigues, Susana; Dufour, Jean-François and Berzigotti, Annalisa

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0960-8923

Publisher:

Springer-Verlag

Language:

English

Submitter:

Rahel Fuhrer

Date Deposited:

11 May 2021 14:04

Last Modified:

13 May 2021 01:34

Publisher DOI:

10.1007/s11695-021-05237-9

PubMed ID:

33486708

Uncontrolled Keywords:

Alcohol use disorder Roux-en-Y-gastric-bypass Sarcopenia Sleeve gastrectomy

BORIS DOI:

10.48350/155528

URI:

https://boris.unibe.ch/id/eprint/155528

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