Bariatric Surgery in Patients with Cirrhosis

  • Zubaidah Nor Hanipah
  • Linden Karas
  • Philip R. Schauer
Chapter

Abstract

Obesity, nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) have been increasing globally leading to higher incidences of liver cirrhosis. Bariatric/Metabolic surgery is an effective long-term treatment of obesity, type 2 diabetes, and associated comorbidities providing significant cardiovascular risk reduction. Multiple studies have demonstrated significant histological improvement in NASH following metabolic surgery. Although patients with cirrhosis undergoing metabolic surgery have a higher perioperative risk than the general population, reported mortality and complication rates are less than expected compared to other major abdominal procedures. A multidisciplinary team approach is recommended for the management of bariatric surgery patients with cirrhosis in order to optimize outcomes.

Keywords

Bariatric Surgery Metabolic Surgery Obesity Cirrhosis Diabetes Nonalcoholic steatohepatitis 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Zubaidah Nor Hanipah
    • 1
  • Linden Karas
    • 1
  • Philip R. Schauer
    • 1
  1. 1.Bariatric and Metabolic Institute, M61Cleveland ClinicClevelandUSA

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