ArticleLiver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society2013
Gastric bypass after liver transplantation.
Article in Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- Liver transplantation and bariatric surgery: a new surgical reality: a systematic review of the best time for bariatric surgery.Updates in surgery · 2021Pooled it
- Are We Ready for Bariatric Surgery in a Liver Transplant Program? A Meta-Analysis.Obesity surgery · 2021Pooled it
- Monitoring of Liver Function Tests after Roux-en-Y Gastric Bypass: An Examination of Evidence Base.Obesity surgery · 2016Pooled it
- Bariatric surgery and liver transplantation: a systematic review a new frontier for bariatric surgery.Obesity surgery · 2015Pooled it
- Consensus statement on obesity management in liver transplantation candidates.Updates in surgery · 2026Article
- Navigating liver transplantation after malabsorptive bariatric surgery: A new risk of rejection.World journal of transplantation · 2026Article
- Patient Perspectives on Weight Management and Wellness After Liver Transplantation: A Convergent Mixed Methods Study.The Journal of surgical research · 2025Article
- The Impact of Metabolic Health and Obesity on Liver Transplant Candidates and Recipients.Life (Basel, Switzerland) · 2024Review
- Preoperative risk evaluation and optimization for patients with liver disease.Gastroenterology report · 2024Review
- Management and Risks Before, During, and After Liver Transplant in Individuals With Obesity.Gastroenterology & hepatology · 2023Article
- Pharmacologic Management of Obesity after Liver Transplantation: A Critical Review.Annals of gastroenterology and digestive disorders · 2023Article
- Bariatric surgery outcomes following organ transplantation: A review study.World journal of experimental medicine · 2022Review
- Bariatric Surgery in NAFLD.Digestive diseases and sciences · 2022Review
- Review
- Mechanisms of nonalcoholic fatty liver disease and implications for surgery.Langenbeck's archives of surgery · 2021Review
- Bariatric surgery in transplant recipients: A narrative review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2021Review
- Liver Transplantation for Peri-hilar Cholangiocarcinoma.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Review
- Medical management of metabolic and cardiovascular complications after liver transplantation.World journal of gastroenterology · 2020Review
- Obesity in the Liver Transplant Setting.Nutrients · 2019Review
- Understanding and managing cardiovascular outcomes in liver transplant recipients.Current opinion in organ transplantation · 2019Review
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
Few data are available for assessing the outcomes of bariatric surgery for patients who have undergone orthotopic liver transplantation (OLT). The University of Minnesota bariatric surgery database and transplant registry were retrospectively reviewed to identify patients who had undergone OLT and then open Roux-en-Y gastric bypass (RYGB) surgery between 2001 and 2009. Comorbidity-appropriate laboratory values, body mass indices (BMIs), histopathology reports, and immunosuppressive regimens were collected. Seven patients were identified with a mean age of 55.4 ± 8.64 years and a mean follow-up of 59.14 ± 41.49 months from the time of RYGB. The mean time between OLT and RYGB was 26.57 ± 8.12 months. The liver disease etiologies were hepatitis C (n = 4), jejunoileal bypass surgery (n = 1), hemangioendothelioma (n = 1), and alcoholic cirrhosis (n = 1). There were 2 deaths for patients with hepatitis C 6 and 9 months after bariatric surgery due to multiple-organ dysfunction syndrome and metastatic esophageal squamous carcinoma, respectively. One patient with hepatitis C required a reversal of the RYGB because of malnutrition and an inability to tolerate oral intake. Four of the 7 patients had type 2 diabetes mellitus (T2DM), 4 had hypertension, and 6 patients had dyslipidemia. All patients were on immunosuppressive medications, but only 4 were on corticosteroids. Glycemic control was improved in all surviving patients with T2DM. The mean BMI was 34.27 ± 5.51 kg/m(2) before OLT and 44.34 ± 6.08 kg/m(2) before RYGB; it declined to 26.47 ± 5.53 kg/m(2) after RYGB. In conclusion, in this case series of patients undergoing RYGB after OLT, we observed therapeutic weight loss, improved glycemic control, and improved high-density lipoprotein levels in the presence of continued dyslipidemia. RYGB may have contributed to the death of 1 patient due to multiple-organ dysfunction syndrome.
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