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. 2018 Jul 28;24(28):3112–3119. doi: 10.3748/wjg.v24.i28.3112

Table 1.

Study characteristics of bariatric surgery in patients with cirrhosis

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.