Received date: July 26, 2016; Accepted date: August 26, 2016; Published date: February 07, 2017
Citation: Spieker H, Sändig I, Wittekind C, Blueher M, Dietrich A (2017) Liver Cirrhosis Improvement by Weight Loss Prior Bariatric Surgery. J Obes Weight Loss Ther 7:334. doi: 10.4172/2165-7904.1000334
Copyright: © 2017 Spieker H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Non-alcoholic fatty liver disease (NAFLD) as a phenotype of metabolic syndrome can lead to non-alcoholic steatohepatitis (NASH) and liver cirrhosis. Bariatric surgery in patients with liver cirrhosis can be related to possible bleeding complications due to resultant hypocoagulability. Therefore lifestyle-changing programmes are necessary in order to improve liver function until (bariatric) surgery is performed.
Bariatric surgery; Liver cirrhosis; Major abdominal surgery; Perioperative risk; NAFLD; Lifestyle changing
NAFLD: Non-Alcoholic Fatty Liver Disease; NASH: Non-Alcoholic Steatohepatitis; T2DM: Type 2 Diabetes Mellitus
We report on a 61 year-old male patient suffering metabolic syndrome with known liver cirrhosis, showing no clinical signs or typical changes in blood samples, who underwent a laparoscopy in 2013 for planed Roux-Y-Bypass. Intra-operatively liver cirrhosis was seen and due to a tendency of bleeding the operation was stopped. Following consequent weight loss therapy (15 kg weight loss) relaparoscopy was performed 3 month later. There was no tendency towards bleeding and bariatric surgery (Roux-en-Y-gastric bypass) was performed. The liver cirrhosis improved histologically.
Bariatric procedures such as Roux-Y-Bypass can be safely performed with an appropriate risk in patients with liver cirrhosis. Suitable conditioning by sufficient weight loss helps to improve liver function in order to enable bariatric surgery under safe circumstances.