Recent studies have indicated that patients with prior bariatric surgery (BS) are at risk for developing alcohol use disorder. We explored patient demographics and impact on liver disease severity in 11 patients with prior BS listed for transplantation due to alcoholic liver disease, and compared these with 177 patients without BS. BS patients were younger with a female predominance and presented with more severe decompensation. The timeframe between diagnosis, listing, and transplantation was significantly shorter in patients with prior BS. The incidence of post-transplant complications and 3-year survival rate was comparable. In conclusion, alcoholic liver disease with rapid decompensation may develop after BS, warranting rapid identification with referral to a transplant center. Attention should be paid to pre-surgery screening for alcohol overuse risk factors.

Bariatric Surgery Patients Are at Risk for Alcoholic Liver Disease with Need for Liver Transplantation / Lefere, S.; Stroobant, L.; Verhelst, X.; Vanlander, A.; Berrevoet, F.; Troisi, Roberto; Van Nieuwenhove, Y.; Rogiers, X.; Van Vlierberghe, H.; Geerts, A.. - In: OBESITY SURGERY. - ISSN 0960-8923. - 30:11(2020), pp. 4659-4664. [10.1007/s11695-020-04806-8]

Bariatric Surgery Patients Are at Risk for Alcoholic Liver Disease with Need for Liver Transplantation

Troisi Roberto;
2020

Abstract

Recent studies have indicated that patients with prior bariatric surgery (BS) are at risk for developing alcohol use disorder. We explored patient demographics and impact on liver disease severity in 11 patients with prior BS listed for transplantation due to alcoholic liver disease, and compared these with 177 patients without BS. BS patients were younger with a female predominance and presented with more severe decompensation. The timeframe between diagnosis, listing, and transplantation was significantly shorter in patients with prior BS. The incidence of post-transplant complications and 3-year survival rate was comparable. In conclusion, alcoholic liver disease with rapid decompensation may develop after BS, warranting rapid identification with referral to a transplant center. Attention should be paid to pre-surgery screening for alcohol overuse risk factors.
2020
Bariatric Surgery Patients Are at Risk for Alcoholic Liver Disease with Need for Liver Transplantation / Lefere, S.; Stroobant, L.; Verhelst, X.; Vanlander, A.; Berrevoet, F.; Troisi, Roberto; Van Nieuwenhove, Y.; Rogiers, X.; Van Vlierberghe, H.; Geerts, A.. - In: OBESITY SURGERY. - ISSN 0960-8923. - 30:11(2020), pp. 4659-4664. [10.1007/s11695-020-04806-8]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/824975
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