Erschienen in:
27.06.2020 | Brief Communication
Bariatric Surgery Patients Are at Risk for Alcoholic Liver Disease with Need for Liver Transplantation
verfasst von:
Sander Lefere, Lenka Stroobant, Xavier Verhelst, Aude Vanlander, Frederik Berrevoet, Roberto Ivan Troisi, Yves Van Nieuwenhove, Xavier Rogiers, Hans Van Vlierberghe, Anja Geerts
Erschienen in:
Obesity Surgery
|
Ausgabe 11/2020
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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.