Abstract
The increase in morbidly obese (MO; BMI > 35) patients requiring liver transplant has mirrored the growing prevalence of obesity in the USA. However, there is considerable debate among physicians whether these patients should undergo transplantation. This is because outcome analysis shows that long-term survival following transplant is adversely affected by complications caused by MO. To date, there is little experience treating MO in transplant patients. Sustained weight reduction in MO liver transplant recipients would likely improve long-term survival and resolve the debate over whether these patients should receive a transplant. Three investigators have described good outcomes from bariatric surgical interventions following liver transplantation. But this requires a second operation with all the attendant risks of additional surgery and anesthesia. This report details an innovative step in the care of the MO transplant recipient: the placement of a gastric band at the time of transplantation. We describe the success of the combined procedure at 6 months following transplantation.
This is a preview of subscription content, log in via an institution to check access.
References
National data resources. Available at <http://www.UNOS.org/data/ Last accessed June 20, 2008.
Hasse J. Pretransplant obesity: a weighty issue affecting transplant candidacy and outcomes. Nutr Clin Pract. 2007;22(5):494–504.
Thuluvath PJ. Morbid obesity with one or more other serious comorbidities should be a contraindication for liver transplantation. Liver Transpl. 2007;13(12):1627–9, (Dec).
Nair S, Verma S, Thuluvath PJ. Obesity and its effect on survival in patients undergoing orthotopic liver transplantation in the United States. Hepatology 2002;35(1):105–9, (Jan).
Steinbrook R. Surgery for severe obesity. N Engl J Med. 2004;350(11):1075–9.
Duchini A, Brunson ME. Roux-en-Y gastric bypass for recurrent nonalcoholic steatohepatitis in liver transplant recipients with morbid obesity. Transplantation 2001;72(1):156–9, (Jul 15).
Tichansky DS, Madan AK. Laparoscopic Roux-en-Y gastric bypass is safe and feasible after orthotopic liver transplantation. Obes Surg. 2005;15(10):1481–6.
Butte JM, Devaud N, Jarufe NP, Boza C, Perez G, Torres J, et al. Sleeve gastrectomy as treatment for severe obesity after orthotopic liver transplantation. Obes Surg. 2007;17(11):1517–9, (Nov).
Gravante G, Araco A, Cervelli V. Laparoscopic adjustable gastric bandings. Surg Endosc 2007.
Mognol P, Marmuse JP. [Sleeve gastrectomy: a new approach to bariatric surgery]. J Chir (Paris). 2007;144(4):293–6.
Kueper MA, Kramer KM, Kirschniak A, Königsrainer A, Pointner R, Granderath FA. Laparoscopic sleeve gastrectomy: standardized technique of a potential stand-alone bariatric procedure in morbidly obese patients. World J Surg. 2008;32(7):1462–5, (Jul).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Campsen, J., Zimmerman, M., Shoen, J. et al. Adjustable Gastric Banding in a Morbidly Obese Patient During Liver Transplantation. OBES SURG 18, 1625–1627 (2008). https://doi.org/10.1007/s11695-008-9633-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-008-9633-5