Liver transplantation in a case of steatohepatitis and subacute hepatic failure after biliopancreatic diversion for morbid obesity

被引：53

作者：

Castillo, J

Fábrega, E

Escalante, CF

Sanjuan, JCR

Herrera, L

Hernánz, F

Martino, E

Casafont, F

Fleitas, MG

机构：

[1] Hosp Univ Marques de Valdecilla, Serv Cirugia Gen 2, Liver Transplantat Unit, Santander 39008, Spain

[2] Hosp Univ Marques de Valdecilla, Obes Surg Unit, Santander 39008, Spain

来源：

OBESITY SURGERY | 2001年 / 11卷 / 05期

关键词：

morbid obesity; bariatric surgery; biliopancreatic diversion; liver transplantation; subacute hepatic failure;

D O I：

10.1381/09608920160557174

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Biliopancreatic diversion (BPD) was designed to avoid the serious complications of jejunoileal bypass (steatohepatitis and hepatic failure). Although this is today considered a safe and effective procedure, a few reports of patients who developed steatohepatitis and subsequently died in hepatic failure exist. Methods: We report a morbidly obese patient who developed subacute hepatitis resulting in hepatic failure 1 year after BPD. Results: Because of irreversible liver failure the decision to perform a liver transplantation was made. The patient underwent emergency liver transplant and lengthening of the common limb. The course of liver transplantation and the patient's recovery were uneventful. Conclusion: Severe liver disease may rarely follow BPD. Liver transplantation and lengthening of the common bowel may be performed to treat these patients.

引用

页码：640 / 642

页数：3