PRO: Should patients with nonalcoholic steatohepatitis fibrosis undergo bariatric surgery as primary treatment?

Orekondy, Nayantara; Lee, David; Malik, Rabiya

doi:10.1002/cld.1224

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Obesity1

Pretransplant Considerations1

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2023

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“…[13] Patients with child-Pugh A cirrhosis, Model of End-stage Liver Disease-Na <12 and no clinically significant portal hypertension are likely the ideal candidates for BS. [14] Current literature on BS in NAFLD is single-center, single-surgeon experiences with small cohorts that largely exclude decompensated patients. On the basis of the available data, it may be premature to recommend BS in DC at this time.…”

Section: Obesitymentioning

confidence: 99%

“…One study found that 1-month postoperative mortality in patients with decompensated cirrhosis (DC) undergoing BS was 16% compared with 2% in the nonliver population 13. Patients with child-Pugh A cirrhosis, Model of End-stage Liver Disease-Na <12 and no clinically significant portal hypertension are likely the ideal candidates for BS 14. Current literature on BS in NAFLD is single-center, single-surgeon experiences with small cohorts that largely exclude decompensated patients.…”

Section: Pretransplant Considerationsmentioning

confidence: 99%

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