Bariatric Surgery In Individuals With Liver Cirrhosis: A Narrative Review

dc.creatorCazzo
dc.creatorEverton; Gestic
dc.creatorMartinho Antonio; Utrini
dc.creatorMurillo Pimentel; Mendonca Chaim
dc.creatorFelipe David; Callejas-Neto
dc.creatorFrancisco; Pareja
dc.creatorJose Carlos; Chaim
dc.creatorElinton Adami
dc.date2017
dc.datefev
dc.date2017-11-13T13:57:40Z
dc.date2017-11-13T13:57:40Z
dc.date.accessioned2018-03-29T06:11:00Z
dc.date.available2018-03-29T06:11:00Z
dc.identifierRevista Da Associacao Medica Brasileira . Associação Médica Brasileira, v. 63, p. 190 - 194, 2017.
dc.identifier0104-4230
dc.identifierWOS:000397875400015
dc.identifier10.1590/1806-9282.63.02.190
dc.identifierhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000200190
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/330072
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1367097
dc.descriptionBariatric surgery has become the gold standard treatment for morbid obesity, but there is no consensus regarding its safety and efficacy among individuals with chronic liver diseases. Objective: To critically evaluate the existing evidence on literature about bariatric surgery in individuals with liver cirrhosis. Method: Narrative review performed by means of an online search in the MEDLINE and LILACS databases. Results: Bariatric surgery is safe and effective in individuals with chronic liver disease without clinical decompensation or significant portal hypertension. Individuals with severe liver function impairment present significantly higher surgical morbidity and mortality. Among candidates to liver transplantation, surgery may be performed before, after and even during transplantation, and there is a predominant trend to perform it after. Vertical sleeve gastrectomy seems to be the most adequate technique in this group of subjects. Conclusion: Bariatric surgery is safe and effective in individuals with compensated cirrhosis without significant portal hypertension, but presents higher morbidity. Among candidates to liver transplantation and/or individuals with severe portal hypertension, morbidity and mortality are significantly higher.
dc.description63
dc.description2
dc.description190
dc.description194
dc.languageEnglish
dc.publisherAssociação Médica Brasileira
dc.publisherSão Paulo
dc.relationRevista da Associacao Medica Brasileira
dc.rightsfechado
dc.sourceWOS
dc.subjectLiver Diseases
dc.subjectObesity
dc.subjectBariatric Surgery
dc.subjectLiver Cirrhosis
dc.subjectLiver Transplantation
dc.titleBariatric Surgery In Individuals With Liver Cirrhosis: A Narrative Review
dc.typeArtículos de revistas


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