Liver failure caused by prolonged state of malnutrition following bariatric surgery
Open Access
- 27 March 2018
- journal article
- research article
- Published by Baishideng Publishing Group Inc. in World Journal of Hepatology
- Vol. 10 (3), 396-399
- https://doi.org/10.4254/wjh.v10.i3.396
Abstract
Bariatric surgery is an effective tool in the treatment of patients with morbid obesity. In these case reports we describe 2 patients who developed liver failure after currently-practiced types of bariatric surgery, caused by a prolonged state of malnutrition provoked by psychiatric problems. Despite intensive guidance of a psychologist and dieticians after surgery, our patients deteriorated psychologically, resulting in a prolonged state of severe malnutrition and anorexia. Finally, a state of starvation was reached, passing a critical level of the liver capacity. Patients who present with signs of severe protein malnutrition after bariatric surgery should be closely monitored and checked for nutritional status. Specific attention should be given to patients who develop psychiatric problems post-bariatric surgery. If refeeding does not result in clinical improvement, reversal surgery should be considered in a timely manner.Keywords
This publication has 12 references indexed in Scilit:
- Bariatric Surgery Reduces Features of Nonalcoholic Steatohepatitis in Morbidly Obese PatientsGastroenterology, 2015
- Bariatric surgery and nonalcoholic fatty liver diseaseEuropean Journal of Gastroenterology & Hepatology, 2015
- Severe protein malnutrition in a morbidly obese patient after bariatric surgeryNutrition, 2015
- Long-term Outcomes of Bariatric SurgeryJAMA Surgery, 2014
- The Effectiveness and Risks of Bariatric Surgery An Updated Systematic Review and Meta-analysis, 2003-2012JAMA Surgery, 2014
- Systematic review: the epidemiology and natural history of non‐alcoholic fatty liver disease and non‐alcoholic steatohepatitis in adultsAlimentary Pharmacology & Therapeutics, 2011
- Long-term results of malabsorptive distal Roux-en-Y gastric bypass in superobese patientsSurgery for Obesity and Related Diseases, 2011
- Laparoscopic conversion of distal mini-gastric bypass to proximal Roux-en-Y gastric bypass for malnutrition: case report and review of the literatureSurgery for Obesity and Related Diseases, 2009
- Liver transplantation for subacute hepatocellular failure due to massive steatohepatitis after bariatric surgeryLiver Transplantation, 2008
- Predictors of Nonalcoholic Steatohepatitis and Advanced Fibrosis in Morbidly Obese PatientsObesity Surgery, 2005