Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis

Ramsey M. Dallal, Samer G. Mattar, Jeffrey L. Lord, Andrew R. Watson, Daniel R. Cottam, George M. Eid, Giselle Hamad, Mordecai Rabinovitz, Philip R. Schauer

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

Background: The safety and efficacy of bariatric surgery in patients with cirrhosis has not been well studied. Methods: A retrospective review was conducted of patients with cirrhosis who underwent weight-loss surgery at a single institution. Results: Out of a total of 2,119 patients who underwent laparoscopic Roux-en-Y gastric bypass (RYGBP), 30 patients (1.4%) with cirrhosis were identified. When compared with the entire cohort, patients with cirrhosis were significantly more prone to be heavier (BMI 53 vs 48), older in years (age 50 vs 45), more likely to be male (RR=1.3), and have a higher incidence of diabetes (70% vs 21%) and hypertension (67% vs 21%), P12 months postoperatively (n=15), the average percent excess weight loss was 63±15%. Conclusion: Laparoscopic RYGBP in the cirrhotic patient has an acceptable complication rate and achieves satisfactory early weight loss. Patients tend to be heavier, older, male and more likely to have diabetes and hypertension. Long-term studies are necessary to examine how weight loss impacts established cirrhosis.

Original languageEnglish (US)
Pages (from-to)47-53
Number of pages7
JournalObesity Surgery
Volume14
Issue number1
DOIs
StatePublished - Jan 2004
Externally publishedYes

Fingerprint

Gastric Bypass
Fibrosis
Weight Loss
Hypertension
Bariatric Surgery
Safety
Incidence

Keywords

  • Bariatric surgery
  • Cirrhosis
  • Gastric bypass
  • Laparoscopy
  • Morbid obesity
  • Outcomes

ASJC Scopus subject areas

  • Surgery

Cite this

Dallal, R. M., Mattar, S. G., Lord, J. L., Watson, A. R., Cottam, D. R., Eid, G. M., ... Schauer, P. R. (2004). Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis. Obesity Surgery, 14(1), 47-53. https://doi.org/10.1381/096089204772787284

Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis. / Dallal, Ramsey M.; Mattar, Samer G.; Lord, Jeffrey L.; Watson, Andrew R.; Cottam, Daniel R.; Eid, George M.; Hamad, Giselle; Rabinovitz, Mordecai; Schauer, Philip R.

In: Obesity Surgery, Vol. 14, No. 1, 01.2004, p. 47-53.

Research output: Contribution to journalArticle

Dallal, RM, Mattar, SG, Lord, JL, Watson, AR, Cottam, DR, Eid, GM, Hamad, G, Rabinovitz, M & Schauer, PR 2004, 'Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis', Obesity Surgery, vol. 14, no. 1, pp. 47-53. https://doi.org/10.1381/096089204772787284
Dallal RM, Mattar SG, Lord JL, Watson AR, Cottam DR, Eid GM et al. Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis. Obesity Surgery. 2004 Jan;14(1):47-53. https://doi.org/10.1381/096089204772787284
Dallal, Ramsey M. ; Mattar, Samer G. ; Lord, Jeffrey L. ; Watson, Andrew R. ; Cottam, Daniel R. ; Eid, George M. ; Hamad, Giselle ; Rabinovitz, Mordecai ; Schauer, Philip R. / Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis. In: Obesity Surgery. 2004 ; Vol. 14, No. 1. pp. 47-53.
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