Table 1.
Author, year | Number. cirrhotics | Childs status | Procedure | Average op time | Average blood loss | LOS | Complication | Mortality | Comments |
Brolin 1998 | 8 | NR | 7 RYGB, 1 JIB reversal | NR | 543 mL | NR | Ascitic fluid leak, marginal ulcer, amputation | 1 periop death, 2 late deaths | |
Dallal 2004 | 30 | A | 27 lap RYGB, 3 lap SG | 4 h | 290 mL | 4 | ATN, anastomotic leak, blood transfusion, prolonged ileus, prolonged intubation | 1 late unrelated death | %EWL at 12 mo 63% |
Takata 2008 | 6 | 4 A, 2B | 6 Lap SG | 141 min | 58 mL | 4.2 | 2 pts, development of ascites, HE post UTI | Nil | %EWL at 9 mo 33% |
Shimizu 2013 | 23 | 22 A, 1B | 14 lap RYGB, 8 lap SG, 1 LAGB | NR | NR | 4.3 | 8 pts, anastomotic leak, stricture, infected hematoma, pneumonia | 1 death 9 months postop of unknown cause | |
Lin 2013 | 20 | NR | Lap SG | 151 min | NR | 4.2 | 2 wound infections, 1 transient HE, 1 transient renal insufficiency, 1 bleeding, 1 staple line leak | 1 death 4 years postop, 2 deaths on liver tx waiting list | |
Rebibo 2014 | 13 | 13 A | 13 lap SG | 75 min | NR | 3 | 1 postop intra-abdo hematoma | Nil | %EWL at 6 mo 61.9% |
Hughes 2014 | 1 | A | Lap SG | NR | NR | NR | Portal vein thrombosis with mesenteric ischaemia | Nil | |
Woodford 2015 | 14 | NR | 14 LAGB | NR | NR | NR | 1 postop surgical site infection, 1 revision of malpositioned band | 1 unrelated death 11 yr post surg | %EWL at 12 mo 61.3% |
Pestana 2015 | 14 | A | 11 SG, 3 RYGB | NR | NR | NR | 1 unrelated HE 2 yr post-surgery | Nil | %Total weight loss at 24 mo 25.6% |
Wolter 2016 | 12 | NR | 12 lap procedures | NR | NR | NR | 1 staple line leak, 1 intra-abdominal abscess, 1 intraluminal bleed, 1 dysrhythmia | Nil | No significant association betw cirrhosis and periop events |
NR: Not recorded; JIB: Jejunoileal bypass; SG: Sleeve gastrectomy; RYGB: Roux-en-Y gastric bypass; LAGB: Laparoscopic adjustable gastric banding; BPD: Biliopancreatic diversion; lap: Laparoscopic; %EWL: Percentage excess weight loss.