Long-term outcomes of patients undergoing simultaneous liver transplantation and sleeve gastrectomy
Abstract
were enrolled. Patients who achieved weight loss (BMI <35) underwent LT alone, and those who did not underwent simultaneous LT + SG. Analysis of long-term outcomes for patients ≥3 years posttransplant was performed. Since 2006, there were 36 in the weight loss intervention (LT cohort) and 13 in the LT + SG cohort with >3 years of follow-up, whereas overall, a total of 29 patients underwent LT + SG. Patients in the LT cohort had less severe obesity at enrollment (40.0 ± 2.7 vs. LT + SG cohort 46.0 ± 4.5; P < 0.001). In the LT cohort, 83.3% (30 of 36) achieved >10% loss in total body weight (TBW) pre-LT. Three years posttransplant, 29.4% of patients in the LT cohort maintained >10% loss in TBW, whereas 100% of the LT + SG patients did (P < 0.001). Patients who underwent LT + SG maintained a significantly higher percentage of total body weight loss after 3 years of follow-up (LT cohort 3.9 ± 13.3% vs. LT + S G cohort 34.8 ± 17.3%; P < 0.001). Patients in the LT + SG also had a lower prevalence of hypertension, insulin resistance, and hepatic steatosis and required fewer antihypertensive medications and lipid agents at last follow-up. CONCLUSION: Whereas weight loss before transplantation was achieved by obese patients, weight regain was common in the LT cohort. Combined LT + SG resulted in more effective and more durable weight loss, as well as fewer metabolic complications at last follow-up. (Hepatology 2018).
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In individuals with decompensated cirrhosis listed for liver transplantation, combined liver transplantation and sleeve gastrectomy can be completed successfully.
“In individuals with decompensated cirrhosis listed for liver transplantation, combined liver transplantation and sleeve gastrectomy can be completed successfully. 505,506”
From EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). (2024) · cites this paper as [505]
Complications specifically related to laparoscopic sleeve gastrectomy are very rare.
“Complications speci fi cally related to laparoscopic sleeve gastrectomy are very rare and long-term bene fi ts have been reported with durable weight loss (35-38%) 505,506,508 and fewer metabolic complications (IR, hypertension, T2D and metabolic syndrome and less antihypertensive and lipid-lowering medication). 505,506”
From EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). (2024) · cites this paper as [505]
Long-term benefits of laparoscopic sleeve gastrectomy have been reported with durable weight loss (35-38%) and fewer metabolic complications.
“Complications speci fi cally related to laparoscopic sleeve gastrectomy are very rare and long-term bene fi ts have been reported with durable weight loss (35-38%) 505,506,508 and fewer metabolic complications (IR, hypertension, T2D and metabolic syndrome and less antihypertensive and lipid-lowering medication). 505,506”
From EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). (2024) · cites this paper as [505]
Cites
Prevalence of Childhood and Adult Obesity in the United States, 2011-2012
Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014) · JAMA · doi:10.1001/jama.2014.732 · Cited by 8,072 · see citing works
Health and economic burden of the projected obesity trends in the USA and the UK
Wang, Y. C., McPherson, K., Marsh, T., Gortmaker, S. L., & Brown, M. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60814-3 · Cited by 2,694 · see citing works
Vilar-Gomez, E., Martinez-Perez, Y., Calzadilla-Bertot, L., Torres-Gonzalez, A., Gra-Oramas, B., Gonzalez-Fabian, L., Friedman, S. L., Diago, M., & Romero-Gomez, M. (2015) · Gastroenterology · doi:10.1053/j.gastro.2015.04.005 · Cited by 2,492 · see citing works
Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 3-Year Outcomes
Schauer, P. R., Bhatt, D. L., Kirwan, J. P., Wolski, K., Brethauer, S. A., Navaneethan, S. D., Aminian, A., Pothier, C. E., Kim, E. S. H., Nissen, S. E., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1401329 · Cited by 1,901 · see citing works
Wong, R. J., Aguilar, M. E. F., Cheung, R. C., Perumpail, R. B., Harrison, S. A., Younossi, Z. M., & Ahmed, A. (2014) · Gastroenterology · doi:10.1053/j.gastro.2014.11.039 · Cited by 1,821 · see citing works
Charlton, M., Burns, J. M., Pedersen, R. A., Watt, K. D. S., Heimbach, J. K., & Dierkhising, R. (2011) · Gastroenterology · doi:10.1053/j.gastro.2011.06.061 · Cited by 1,103 · see citing works
Self-citationWatt, K. D. S., Pedersen, R. A., Kremers, W. K., Heimbach, J. K., & Charlton, M. (2010) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2010.03126.x · Cited by 784 · see citing works
Self-citationBariatric Surgery Reduces Features of Nonalcoholic Steatohepatitis in Morbidly Obese Patients
Lassailly, G., Caiazzo, R., Buob, D., Pigeyre, M., Verkindt, H., Labreuche, J., Raverdy, V., Leteurtre, E., Dharancy, S., Louvet, A., et al. (2015) · Gastroenterology · doi:10.1053/j.gastro.2015.04.014 · Cited by 762 · see citing works
Executive Summary: Standards of Medical Care in Diabetes—2011
(2010) · Diabetes Care · doi:10.2337/dc11-s004 · Cited by 512 · see citing works
Nair, S. P., Verma, S., & Thuluvath, P. J. (2002) · Hepatology · doi:10.1053/jhep.2002.30318 · Cited by 419 · see citing works
Imaging-based Quantification of Hepatic Fat: Methods and Clinical Applications
Ma, X., Holalkere, N.-S., Avinash Kambadakone, R., Mino-Kenudson, M. A., Hahn, P. F., & Sahani, D. V. (2009) · Radiographics · doi:10.1148/rg.295085186 · Cited by 312 · see citing works
Heimbach, J. K., Watt, K. D. S., Poterucha, J. J., Francisco‐Ziller, N., DiCecco, S. R., Charlton, M., Hay, J. E., Wiesner, R. H., Sánchez, W., Rosen, C. B. B., et al. (2012) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2012.04318.x · Cited by 261 · see citing works
Self-citationMetabolic syndrome and liver transplantation: A review and guide to management
Watt, K. D. S., & Charlton, M. (2010) · Journal of Hepatology · doi:10.1016/j.jhep.2010.01.040 · Cited by 243 · see citing works
Self-citationLeonard, J., Heimbach, J. K., Malinchoc, M., Watt, K. D. S., & Charlton, M. (2008) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2007.02100.x · Cited by 225 · see citing works
Self-citationLiver transplantation at the extremes of the body mass index
Dick, A. A. S., Spitzer, A. L., Seifert, C. F., Deckert, A., Carithers, R. L., Reyes, J. D., & Perkins, J. D. (2009) · Liver Transplantation · doi:10.1002/lt.21785 · Cited by 204 · see citing works
Cardiovascular disease after liver transplantation: When, What, and Who Is at Risk
Fussner, L. A., Heimbach, J. K., Fan, C. L., Dierkhising, R., Coss, E., Leise, M. D., & Watt, K. D. S. (2015) · Liver Transplantation · doi:10.1002/lt.24137 · Cited by 202 · see citing works
Self-citationCurrent concepts in the pathogenesis of nonalcoholic fatty liver disease
Méndez‐Sánchez, N., Arrese, M. A., Zamora‐Valdés, D., & Uribe, M. (2007) · Liver International · doi:10.1111/j.1478-3231.2007.01483.x · Cited by 184 · see citing works
Vallin, M., Guillaud, O., Boillot, O., Hervieu, V., Scoazec, J.-Y., & Dumortier, J. (2014) · Liver Transplantation · doi:10.1002/lt.23936 · Cited by 137 · see citing works
Increased morbidity in overweight and obese liver transplant recipients
Hakeem, A. R., Cockbain, A. J., Raza, S. S., Pollard, S. G., Toogood, G. J., Attia, M. S., Ahmad, N., Hidalgo, E. L., Prasad, R. K., & Menon, K. V. (2013) · Liver Transplantation · doi:10.1002/lt.23618 · Cited by 136 · see citing works
Nair, S. P., Cohen, D. B., Cohen, C., Tan, H. P., Maley, W. R., & Thuluvath, P. J. (2001) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2001.03629.x · Cited by 126 · see citing works
Lin, M. Y. C., Tavakol, M., Sarin, A., Amirkiai, S. M., Rogers, S. J., Carter, J. T., & Posselt, A. M. (2012) · Surgical Endoscopy · doi:10.1007/s00464-012-2410-5 · Cited by 116 · see citing works
Conzen, K. D., Vachharajani, N. A., Collins, K. M., Anderson, C. D., Lin, Y., Wellen, J. R., Shenoy, S., Lowell, J. A., Doyle, M. B., & Chapman, W. C. (2014) · HPB · doi:10.1111/hpb.12340 · Cited by 97 · see citing works
Prolonged waiting times for liver transplantation in obese patients
Segev, D. L., Thompson, R. E., Locke, J. E., Simpkins, C. E., Thuluvath, P. J., Montgomery, R. A., & Maley, W. R. (2008) · Annals of Surgery · doi:10.1097/sla.0b013e31818a01ef · Cited by 91 · see citing works
Bambha, K. M., Dodge, J. L., Gralla, J., Sprague, D., & Biggins, S. W. (2015) · Liver Transplantation · doi:10.1002/lt.24188 · Cited by 84 · see citing works
Sleeve Gastrectomy as Treatment for Severe Obesity after Orthotopic Liver Transplantation
Butte, J. M., Devaud, N. A., Jarufe, N. P., Boza, C., Pérez, G., Torres, J., Pérez‐Ayuso, R. M., Arrese, M. A., & Martínez, J. (2007) · Obesity Surgery · doi:10.1007/s11695-008-9432-z · Cited by 80 · see citing works
Comparable graft and patient survival in lean and obese liver transplant recipients
Perez-Protto, S. E., Quintini, C., Reynolds, L. F., You, J., Cywiński, J. B., Sessler, D. I., & Miller, C. M. (2013) · Liver Transplantation · doi:10.1002/lt.23680 · Cited by 79 · see citing works
Sleeve gastrectomy surgery in obese patients post–organ transplantation
Elli, E. F., Gonzalez-Heredia, R., Sánchez-Johnsen, L., Patel, N., Garcı́a-Roca, R., & Oberholzer, J. (2015) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2015.11.030 · Cited by 79 · see citing works
Laparoscopic Roux-en-Y Gastric Bypass is Safe and Feasible after Orthotopic Liver Transplantation
Tichansky, D. S., & Madan, A. K. (2005) · Obesity Surgery · doi:10.1381/096089205774859164 · Cited by 78 · see citing works
Higher Mortality and Survival Benefit in Obese Patients Awaiting Liver Transplantation
Schlansky, B. L., Naugler, W. E., Orloff, S. L., & Enestvedt, C. K. (2016) · Transplantation · doi:10.1097/tp.0000000000001461 · Cited by 74 · see citing works
Schaeffer, D. F., Yoshida, E. M., Buczkowski, A. K., Chung, S. W., Steinbrecher, U. P., Erb, S. R., & Scudamore, C. H. (2009) · Annals of Hepatology · doi:10.1016/s1665-2681(19)31809-5 · Cited by 61 · see citing works
The impact of wait list body mass index changes on the outcome after liver transplantation
Orci, L. A., Majno, P. E., Berney, T., Morel, P., Mentha, G., & Toso, C. (2012) · Transplant International · doi:10.1111/tri.12017 · Cited by 56 · see citing works
Risk factors and dynamics of weight gain in patients after liver transplantation.
Wawrzynowicz‐Syczewska, M., Karpińska, E., Jurczyk, K., Laurans, Ł., & Boroń‐Kaczmarska, A. (2009) · PubMed · Cited by 50 · see citing works
Nolan, J. J., & Færch, K. (2012) · Diabetologia · doi:10.1007/s00125-012-2684-0 · Cited by 42 · see citing works
The autonomic nervous system regulates postprandial hepatic lipid metabolism
Bruinstroop, E., la Fleur, S. E., Ackermans, M. T., Foppen, E., Wortel, J., Kooijman, S., Berbée, J. F. P., Rensen, P. C. N., Fliers, E., & Kalsbeek, A. (2013) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00614.2012 · Cited by 38 · see citing works
Kugler, C., Einhorn, I., Gottlieb, J., Warnecke, G., Schwarz, A., Barg-Hock, H., Bara, C., Haller, H., & Haverich, A. (2015) · Progress in Transplantation · doi:10.7182/pit2015668 · Cited by 36 · see citing works
Hepatic denervation and dyslipidemia in obese Zucker (fa/fa) rats
Bruinstroop, E., Eliveld, J., Foppen, E., Busker, S., Ackermans, M. T., Fliers, E., & Kalsbeek, A. (2015) · International Journal of Obesity · doi:10.1038/ijo.2015.122 · Cited by 34 · see citing works
State of the Art: Sleeve Gastrectomy
Wölnerhanssen, B. K., & Peterli, R. (2014) · Digestive Surgery · doi:10.1159/000354320 · Cited by 34 · see citing works
Robotic sleeve gastrectomy after liver transplantation
Elli, E. F., Masrur, M. A., & Giulianotti, P. C. (2012) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2012.01.010 · Cited by 33 · see citing works
Baltasar, A., Deitel, M., & Greenstein, R. J. (2008) · Obesity Surgery · doi:10.1007/s11695-008-9450-x · Cited by 25 · see citing works
Liver denervation attenuates the hypophagia produced by an imbalanced amino acid diet
Bellinger, L. L. (1996) · Physiology & Behavior · doi:10.1016/0031-9384(95)02168-x · Cited by 21 · see citing works
Bariatric surgery (sleeve gastrectomy) after liver transplantation: case report
Pajecki, D., Cesconetto, D., Macacari, R., Joaquim, H., Andraus, W., de Cleva, R., Santo, M. A., D′Albuquerque, L. A. C., & Cecconello, I. (2014) · ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) · doi:10.1590/s0102-6720201400s100021 · Cited by 14 · see citing works
Ingestive patterns of liver-denervated rats presented with several diets
Bellinger, L. L., Dula, G., & Williams, F. E. (1994) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1994.267.1.r44 · Cited by 9 · see citing works
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Tacke, F., Horn, P., Wai-Sun Wong, V., Ratziu, V., Bugianesi, E., Francque, S., Zelber-Sagi, S., Valenti, L., Roden, M., Schick, F., et al. (2024) · Journal of Hepatology · doi:10.1016/j.jhep.2024.04.031 · Cited by 2,210 · see citing works
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Liver Transplantation 2023: Status Report, Current and Future Challenges
Terrault, N. A., Francoz, C., Berenguer, M., Charlton, M., & Heimbach, J. K. (2023) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2023.04.005 · Cited by 323 · see citing works
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Samuel, D., Martin, E. D., Berg, T., Berenguer, M., Burra, P., Fondevila, C., Heimbach, J. K., Pageaux, G., Fueyo, A. S., & Toso, C. (2024) · Journal of Hepatology · doi:10.1016/j.jhep.2024.07.032 · Cited by 275 · see citing works
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Burra, P., Becchetti, C., & Germani, G. (2020) · JHEP Reports · doi:10.1016/j.jhepr.2020.100192 · Cited by 221 · see citing works
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Wang, X., & Malhi, H. (2018) · Annals of Internal Medicine · doi:10.7326/aitc201811060 · Cited by 208 · see citing works
Northup, P. G., Friedman, L. S., & Kamath, P. S. (2018) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2018.09.043 · Cited by 128 · see citing works
Tsochatzis, E., Coilly, A., Nadalin, S., Levistky, J., Tokat, Y., Ghobrial, M., Klinck, J., & Berenguer, M. (2019) · Transplantation · doi:10.1097/tp.0000000000002433 · Cited by 105 · see citing works
Roeb, E., Canbay, A. E., Tacke, F., Bantel, H., Bojunga, J., de Laffolie, J., Demir, M., Denzer, U. W., Geier, A., Hofmann, W. P., et al. (2022) · Zeitschrift für Gastroenterologie · doi:10.1055/a-1880-2283 · Cited by 102 · see citing works
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Germani, G., Laryea, M. A., Rubbia‐Brandt, L., Egawa, H., Burra, P., O’Grady, J., & Watt, K. D. S. (2018) · Transplantation · doi:10.1097/tp.0000000000002485 · Cited by 92 · see citing works
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Obesity, transplantation, and bariatric surgery: An evolving solution for a growing epidemic
Diwan, T. S., Lee, T. C., Nagai, S., Benedetti, E., Posselt, A. M., Bumgardner, G. L., Noria, S. F., Whitson, B. A., Ratner, L. E., Mason, D. P., et al. (2020) · American Journal of Transplantation · doi:10.1111/ajt.15784 · Cited by 76 · see citing works
Self-citationAnnema, C., Smet, S. D., Castle, E. M., Overloop, Y., Klaase, J. M., Janaudis‐Ferreira, T., Mathur, S., Kouidi, E. J., Pérez‐Sáez, M. J., Matthys, C., et al. (2023) · Transplant International · doi:10.3389/ti.2023.11564 · Cited by 74 · see citing works
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Moctezuma‐Velázquez, C., Márquez-Guillén, E., & Torre, A. (2019) · Nutrients · doi:10.3390/nu11112552 · Cited by 68 · see citing works
Battistella, S., D’Arcangelo, F., Grasso, M., Zanetto, A., Gambato, M., Germani, G., Senzolo, M., Russo, F. P., & Burra, P. (2022) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2022.0392 · Cited by 68 · see citing works
Gadiparthi, C., Spatz, M., Greenberg, S., Iqbal, U., Kanna, S., Satapathy, S. K., Broder, A., & Ahmed, A. (2020) · Journal of Clinical and Translational Hepatology · doi:10.14218/jcth.2020.00014 · Cited by 63 · see citing works
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Nagai, S., Collins, K., Chau, L. C., Safwan, M., Rizzari, M. D., Yoshida, A., Abouljoud, M. S., & Moonka, D. (2019) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2019.04.033 · Cited by 60 · see citing works
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Metabolic associated fatty liver disease: Addressing a new era in liver transplantation
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Kim, D.-S., Yoon, Y.-I., Kim, B. K., Choudhury, A., Kulkarni, A., Park, J. Y., Kim, J., Sinn, D. H., Joo, D. J., Choi, Y., et al. (2024) · Hepatology International · doi:10.1007/s12072-023-10629-3 · Cited by 47 · see citing works
Bariatric surgery and the liver—Mechanisms, benefits, and risks
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de BARROS, F., & Uba, P. H. C. F. (2021) · Updates in Surgery · doi:10.1007/s13304-021-01106-3 · Cited by 45 · see citing works
Chauhan, M., Singh, K., & Thuluvath, P. J. (2022) · Digestive Diseases and Sciences · doi:10.1007/s10620-021-07317-3 · Cited by 42 · see citing works
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Authors, & Collaborators: (2022) · Zeitschrift für Gastroenterologie · doi:10.1055/a-1880-2388 · Cited by 30 · see citing works
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Rössler, F., Hübel, K., Natale, S. D., Oberkofler, C. E., Gerber, P. A., Bueter, M., & de Rougemont, O. (2020) · Clinical Transplantation · doi:10.1111/ctr.14197 · Cited by 23 · see citing works
Nonalcoholic Fatty Liver Disease after Liver Transplant
Shetty, A., Giron, F., Divatia, M. K., Ahmad, M. I., Kodali, S., & Victor, D. W. (2021) · Journal of Clinical and Translational Hepatology · doi:10.14218/jcth.2020.00072 · Cited by 22 · see citing works
Combined liver transplantation and sleeve gastrectomy: report of a brief-interval staged approach
Tariq, N., Saharia, A., Nwokedi, U., Hobeika, M. J., Mobley, C. M., Hsu, D., Potter, L. M., Moore, L. W., Elaileh, A., Sherman, V., et al. (2023) · Liver Transplantation · doi:10.1002/lt.26560 · Cited by 21 · see citing works
Invited Commentary: Concurrent nephrectomy and bariatric surgery for obese living kidney donors
Waits, S. A., & Englesbe, M. J. (2019) · Surgery · doi:10.1016/j.surg.2019.02.013 · Cited by 21 · see citing works
Ghanem, O. M., Pita, A., Nazzal, M., Johnson, S. M., Diwan, T. S., Obeid, N. R., Croome, K. P., Lim, R., Quintini, C., Whitson, B. A., et al. (2024) · Surgical Endoscopy · doi:10.1007/s00464-024-10930-8 · Cited by 20 · see citing works
Sharpton, S. R., Terrault, N. A., Tavakol, M., & Posselt, A. M. (2021) · American Journal of Transplantation · doi:10.1111/ajt.16583 · Cited by 20 · see citing works
Victor, D. W., Zanetto, A., Montaño‐Loza, A. J., Heimbach, J. K., Towey, J., Spiro, M. D., Raptis, D. A., Burra, P., & the ERAS4OLT.org Working Group (2022) · Clinical Transplantation · doi:10.1111/ctr.14647 · Cited by 20 · see citing works
Self-citationChierici, A. P., Alromayan, M., Fatico, S. D., Drai, C., Vinci, D., Anty, R., Schiavo, L., & Iannelli, A. (2023) · Journal of Liver Transplantation · doi:10.1016/j.liver.2023.100139 · Cited by 20 · see citing works
Watt, K. D., Heimbach, J. K., Rizk, M., Jaruvongvanich, P., Sanchez, W., Port, J., Venkatesh, S. K., Bamlet, H., Tiedtke, K., Malhi, H., et al. (2021) · Liver Transplantation · doi:10.1002/lt.26074 · Cited by 18 · see citing works
Self-citationLarson, E. L., Ellias, S. D., Blezek, D. J., Klug, J., Hartman, R. P., Francisco‐Ziller, N., Bamlet, H., Mao, S. A., Perry, D. K., Nimma, I. R., et al. (2025) · Journal of Hepatology · doi:10.1016/j.jhep.2025.02.030 · Cited by 18 · see citing works
Self-citationAyloo, S. M., Guss, C., Pentakota, S. R., Hanna, J., & Molinari, M. (2019) · Transplantation Proceedings · doi:10.1016/j.transproceed.2019.11.014 · Cited by 18 · see citing works
Combined sleeve gastrectomy with liver transplant in patients with obesity: a feasibility study
Gunturu, N. S., Castillo-Larios, R., Bowers, S., Edwards, M., Burns, J., Perry, D., & Elli, E. F. (2022) · Obesity Surgery · doi:10.1007/s11695-022-06289-1 · Cited by 17 · see citing works
Ghanem, O. M., Pita, A., Nazzal, M., Johnson, S. M., Diwan, T. S., Obeid, N. R., Croome, K. P., Lim, R., Quintini, C., Whitson, B. A., et al. (2024) · American Journal of Transplantation · doi:10.1016/j.ajt.2024.04.013 · Cited by 17 · see citing works
Obesity Management of Liver Transplant Waitlist Candidates and Recipients
Brandman, D. (2020) · Clinics in Liver Disease · doi:10.1016/j.cld.2020.08.001 · Cited by 18 · see citing works
Yemini, R., Nesher, E., Braun, M., Cohen, M., Carmeli, I., Mor, E., & Keidar, A. (2021) · Clinical Transplantation · doi:10.1111/ctr.14374 · Cited by 16 · see citing works
Relatively Poor Long-term Outcomes Following Liver Transplantation for NASH in the United States
Jamil, O. K., Sandıkçı, B., Faust, N. W., Cotter, T. G., Paul, S., di Sabato, D., Fung, J. J., & Charlton, M. (2022) · Transplantation · doi:10.1097/tp.0000000000004208 · Cited by 16 · see citing works
Savino, A., Loglio, A., Neri, F., Camagni, S., PASULO, L., Lucà, M. G., Trevisan, R., FAGIUOLI, S., & Viganò, M. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13133871 · Cited by 15 · see citing works
de BARROS, F., & Fonseca, A. B. M. (2020) · Clinical Obesity · doi:10.1111/cob.12393 · Cited by 15 · see citing works
Risks and Rewards of Bariatric Surgery in Advanced Chronic Liver Diseases
Mendoza, Y. P., Becchetti, C., Watt, K. D. S., & Berzigotti, A. (2021) · Seminars in Liver Disease · doi:10.1055/s-0041-1731705 · Cited by 15 · see citing works
Self-citationSarno, G., Schiavo, L., Calabrese, P., Álvarez-Córdova, L., Frías-Toral, E., Cucalón, G., Garcia-Velasquez, E., Fuchs‐Tarlovsky, V., & Pilone, V. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11185293 · Cited by 14 · see citing works
Ravaioli, F., Maria, N. D., Marco, L. D., Pivetti, A., Casciola, R., Ceraso, C., Frassanito, G., Pambianco, M., Pecchini, M., Sicuro, C., et al. (2023) · Nutrients · doi:10.3390/nu15122778 · Cited by 16 · see citing works
Obesity and Nonalcoholic Fatty Liver Disease
Chaney, A. J. (2021) · Nursing Clinics of North America · doi:10.1016/j.cnur.2021.07.009 · Cited by 13 · see citing works
Hospice care for end stage liver disease in the United States
Orman, E. S., Johnson, A. W., Ghabril, M., & Sachs, G. A. (2021) · Expert Review of Gastroenterology & Hepatology · doi:10.1080/17474124.2021.1892487 · Cited by 11 · see citing works
Chauhan, K., Khan, A., Chowdhury, S., Ross, H. M., Parra, N. S., & Halegoua-DeMarzio, D. L. (2022) · Livers · doi:10.3390/livers2020006 · Cited by 11 · see citing works
The Role Bariatric Surgery and Endobariatric Therapies in Nonalcoholic Steatohepatitis
Yeoh, A. J., Wong, R. J., & Singal, A. K. (2023) · Clinics in Liver Disease · doi:10.1016/j.cld.2023.01.009 · Cited by 10 · see citing works
Wijarnpreecha, K., Pungpapong, S., Aby, E. S., Croome, K. P., Taner, C. B., Thompson, C. C., & Kröner, P. T. (2020) · Transplant International · doi:10.1111/tri.13713 · Cited by 10 · see citing works
Choudhury, A. K., Rajaram, R. B., & Sarin, S. K. (2024) · Hepatology International · doi:10.1007/s12072-024-10711-4 · Cited by 9 · see citing works
Evaluation of liver transplant candidates with non-alcoholic steatohepatitis
Esteban, J. P., & Asgharpour, A. (2021) · Translational Gastroenterology and Hepatology · doi:10.21037/tgh.2020.03.04 · Cited by 9 · see citing works
Alcohol associated liver disease and bariatric surgery: Current perspectives and future directions
Cooper, K. M., Colletta, A., Hebda, N., & Devuni, D. (2024) · World Journal of Gastrointestinal Surgery · doi:10.4240/wjgs.v16.i3.650 · Cited by 8 · see citing works
Bariatric surgery post-liver transplantation: A Belgian nationwide study
Onghena, L., Geerts, A. M., Berrevoet, F. C., Pirenne, J., Verbeek, J., Bonaccorsi‐Riani, E., Dahlqvist, G., Vonghia, L., Detry, O., Delwaide, J., et al. (2024) · Liver Transplantation · doi:10.1097/lvt.0000000000000372 · Cited by 8 · see citing works
Davis, J. P. E., Reticker, A., Han, H. H., Orandi, B. J., Henry, Z. H., Tsunoda, S. M., Heimbach, J. K., Schulman, A. R., Tincopa, M. A., & the AST LICOP Controversies Conference Working Group (2025) · Liver Transplantation · doi:10.1097/lvt.0000000000000645 · Cited by 8 · see citing works
Self-citationManagement and Risks Before, During, and After Liver Transplant in Individuals With Obesity.
Alqahtan, S. A., & Brown, R. S. (2023) · PubMed Central · Cited by 8 · see citing works
Samuel, S., Abulawi, A., & Malik, R. (2023) · Gastroenterology Insights · doi:10.3390/gastroent14030018 · Cited by 9 · see citing works
Minimizing Metabolic and Cardiac Risk Factors to Maximize Outcomes After Liver Transplantation
Schmidt, K., Spann, A., Khan, M. Q., Izzy, M. J., & Watt, K. D. S. (2023) · Transplantation · doi:10.1097/tp.0000000000004875 · Cited by 8 · see citing works
Self-citationTemime, V., Ghanem, O. M., Heimbach, J. K., Diwan, T. S., Tranchart, H., Abdallah, H., Blanchard, C. L., Lontrichard, M., Reche, F., Borel, A., et al. (2024) · International Journal of Surgery · doi:10.1097/js9.0000000000001310 · Cited by 8 · see citing works
Self-citationSato‐Espinoza, K., Chotiprasidhi, P., Liza, E., Plácido-Damián, Z., & Ferrer, J. D. (2024) · World Journal of Transplantation · doi:10.5500/wjt.v14.i4.98718 · Cited by 8 · see citing works
Combined liver transplantation with sleeve gastrectomy: a pioneer case series from Brazil
Fernandes, E. D. S. M., de Mello, F. P. T., Pimentel, L. S., Andrade, R., Girão, C. L., César, C., El-Kadre, L. J., de BARROS, F., Coelho, H. S. M., Brito, A., et al. (2022) · Updates in Surgery · doi:10.1007/s13304-021-01230-0 · Cited by 8 · see citing works
Optimal Management of Obesity in Transplant Candidates and Recipients
Lam, J., Khan, M. Q., Watt, K. D. S., & Diwan, T. S. (2024) · Current Transplantation Reports · doi:10.1007/s40472-024-00434-8 · Cited by 7 · see citing works
Self-citationRozani, S., Dalamaga, Μ., Weber, G., & Grützmann, R. (2025) · Metabolism Open · doi:10.1016/j.metop.2025.100410 · Cited by 7 · see citing works
Validation of biochemical scores for liver steatosis before and 1 year after sleeve gastrectomy
Ruíz-Tóvar, J., & Zubiaga, L. (2019) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2019.05.004 · Cited by 7 · see citing works
Steggerda, J. A., Mahendraraj, K., Todo, T., & Noureddin, M. (2020) · World Journal of Gastroenterology · doi:10.3748/wjg.v26.i28.4018 · Cited by 7 · see citing works
Personalized Approach for Obese Patients Undergoing Endoscopic Sleeve Gastroplasty
Matteo, M. V., D’Oria, M., Bove, V., Carlino, G., Pontecorvi, V., Raffaelli, M., Chieffo, D. R. P., Cesario, A., Scambia, G., Costamagna, G., et al. (2021) · Journal of Personalized Medicine · doi:10.3390/jpm11121298 · Cited by 7 · see citing works
Manzia, T. M., Sensi, B., Gentileschi, P., Quaranta, C., Toti, L., Baiocchi, L., Dauri, M., Angelico, R., & Tisone, G. (2024) · Liver Transplantation · doi:10.1097/lvt.0000000000000522 · Cited by 6 · see citing works
Wentworth, B. J. (2024) · Metabolism and Target Organ Damage · doi:10.20517/mtod.2024.45 · Cited by 6 · see citing works
Advances in Rejection Management
Harrington, C., Yang, G., & Levitsky, J. (2020) · Clinics in Liver Disease · doi:10.1016/j.cld.2020.08.003 · Cited by 6 · see citing works
Brouwer, W. P., Vonghia, L., Thiele, M. S., Schattenberg, J. M., Anastasiou, F., Beckmann, S., Bugianesi, E., Castéra, L., Caussy, C., Cordie, A., et al. (2026) · JHEP Reports · doi:10.1016/j.jhepr.2026.101798 · Cited by 5 · see citing works
The Impact of Metabolic Health and Obesity on Liver Transplant Candidates and Recipients
Vogel, A. S., Roediger, R., Ahrens, D. V., Fortune, B. E., Schwartz, J. M., Frager, S. Z., Chacko, K. R., & Tow, C. (2024) · Life · doi:10.3390/life14060685 · Cited by 5 · see citing works
The Challenging Ethical Landscape of Non-alcoholic Fatty Liver Disease
Berry, P., & Kotha, S. (2022) · EMJ Hepatology · doi:10.33590/emjhepatol/21-00217 · Cited by 5 · see citing works
Obesity management for the hepatologist—What to do, how to do it and why?
Watt, K. D. S., Paul, S., Khan, M. Q., Siddiqui, M. S., Lam, J., Diwan, T. S., & Camilleri, M. (2023) · Hepatology · doi:10.1097/hep.0000000000000598 · Cited by 5 · see citing works
Self-citationDe novo and recurrent liver disease
Ip, S., Bhanji, R. A., Ebadi, M., Mason, A. L., & Montaño‐Loza, A. J. (2020) · Best Practice & Research Clinical Gastroenterology · doi:10.1016/j.bpg.2020.101688 · Cited by 5 · see citing works
Metabolic syndrome after liver transplantation: A silent threat to long-term success
Chan, S., Lee, J. S., Karki, P., Laryea, M. A., Huang, J. H., Lim, N., & Twohig, P. A. (2025) · World Journal of Gastrointestinal Pharmacology and Therapeutics · doi:10.4292/wjgpt.v16.i4.111073 · Cited by 4 · see citing works
Guidance for Timely Referral to Liver Transplantation
King, L. Y., Aby, E. S., Desai, A. P., Fortune, B. E., Sharma, P., Ufere, N. N., Lizaola‐Mayo, B., deLemos, A. S., Barman, P. M., & Duarte‐Rojo, A. (2025) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2025.07.032 · Cited by 5 · see citing works
The role of bariatric surgery in liver transplantation: timing and type
Safavi, D., Creavin, B., Gallagher, T. K., & Kelly, M. E. (2022) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-022-02606-5 · Cited by 4 · see citing works
Mehtani, R., & Rathi, S. (2024) · Journal of Clinical and Experimental Hepatology · doi:10.1016/j.jceh.2024.101432 · Cited by 4 · see citing works
Individualized treatment options for patients with non-cirrhotic and cirrhotic liver disease
Hartl, L., Elias, J., Prager, G., Reiberger, T., & Unger, L. W. (2021) · World Journal of Gastroenterology · doi:10.3748/wjg.v27.i19.2281 · Cited by 4 · see citing works
Current status of liver transplantation for non‐B non‐C liver cirrhosis and hepatocellular carcinoma
Nishio, T., Ito, T., Hata, K., Taura, K., & Hatano, E. (2022) · Annals of Gastroenterological Surgery · doi:10.1002/ags3.12612 · Cited by 4 · see citing works
Sleeve gastrectomy after liver transplantation: results of a 5-year follow-up
Abu-Abeid, A., Dvir, N., Sharon, L. E. V. I., & Dayan, D. (2022) · Minerva Surgery · doi:10.23736/s2724-5691.22.09672-1 · Cited by 4 · see citing works
Bariatric surgery, obesity and liver transplantation
Ahmed, Z., Khan, M. A., Vazquez‐Montesino, L. M., & Ahmed, A. (2021) · Translational Gastroenterology and Hepatology · doi:10.21037/tgh-2019-ltna-15 · Cited by 4 · see citing works
How will NAFLD change the liver transplant landscape in the 2020s?
Villeret, F., Dumortier, J., & Erard‐Poinsot, D. (2021) · Clinics and Research in Hepatology and Gastroenterology · doi:10.1016/j.clinre.2021.101759 · Cited by 4 · see citing works
- Authors
- Zamora‐Valdes, D., Watt, K. D., Kellogg, T. A., Poterucha, J. J., Di Cecco, S. R., Francisco‐Ziller, N. M., Taner, T., Rosen, C. B., & Heimbach, J. K.
- Affiliations
- Transplant Surgery,Mayo Clinic,Rochester,MN
- Mayo Clinic (US)
- Liver Transplant,Mayo Clinic,Rochester,MN
- Corresponding author
- Heimbach, Julie K.
- Venue
- Hepatology
- Published
- 2018-05-14
- Volume
- 68
- Issue
- 2
- Pages
- 485-495
- ISSN
- 0270-9139 (ISSN-L)
- 1527-3350
- OpenAlex
- W2791682598
- Cited by
- 172
- References
- 42
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 43 · 2023: 18 · 2022: 20 · 2021: 21 · 2020: 22 · 2019: 11 · 2018: 8
- FWCI
- 16.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Keywords
- liver transplantation, sleeve gastrectomy, obesity, weight loss, weight regain, metabolic complications, insulin resistance, hypertension, hepatic steatosis, antihypertensive drugs, lipid-lowering drugs
- MeSH terms
- Adult, Aged, Body Weight, Female, Follow-Up Studies, Gastrectomy, Humans, Liver Diseases, Male, Middle Aged, Obesity, Quality of Life, Weight Loss, Body Mass Index, Survival Rate, Liver Transplantation, Treatment Outcome, Weight Reduction Programs
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