Laparoscopic sleeve gastrectomy for morbid obesity in patients after orthotopic liver transplant: a matched case-control study
Abstract
Introduction Obesity is frequently encountered in patients with orthotopic liver transplant (OLT). The role of bariatric surgery is still unclear for this specific population. The aim of this study was to review our experience with laparoscopic sleeve gastrectomy (LSG) after OLT.Material and methods We performed a retrospective case-control study of patients undergoing LSG after OLT from 2010 to 2016. OLT-LSG patients were matched by age, sex, body mass index (BMI), and year to non-OLT patients undergoing LSG. Demographics, operative variables, postoperative events, and long-term weight loss with comorbidity resolution were collected and compared between cases and controls.Results Of 303 patients undergoing LSG, 12 (4%) had previous OLT. They were matched to 36 non-OLT patients. No difference was found between groups in the American Society of Anesthesiologists class, mean operative time, or postoperative morbidity. The non-OLT group, however, had a significantly shorter mean hospital stay than the OLT group (1.7 vs 3.1 days; P < .001). There were no conversions to open procedures. For patients with long-term follow-up, change in BMI after LSG was similar between the groups, but the non-OLT patients had significantly more excess body weight loss at 2 years (53.7 vs 45.2%; P < .001). Similar resolution of comorbid conditions was noted in both groups. LSG caused no changes in dosage of immunosuppressive medications, and no liver complications occurred.Conclusion LSG after OLT in appropriately selected patients appears to have similar outcomes to LSG in non-OLT patients.
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Comorbid conditions may resolve to the same extent as in non-transplanted individuals undergoing sleeve gastrectomy and no changes in immunosuppressive regimens were necessary.
“Comorbid conditions may resolve to the same extent as in non-transplanted individuals undergoing sleeve gastrectomy and no changes in immunosuppressive regimens were necessary. 525”
From EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). (2024) · cites this paper as [525]
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Sleeve gastrectomy in a patient with morbid obesity following liver transplantation
Григорьев, С. Е., Оганнесович, М. М., Novozhilov, A. V., & Manvelyan, A. M. (2026) · Russian Journal of Transplantology and Artificial Organs · doi:10.15825/1995-1191-2026-2-39-45
- Authors
- Tsamalaidze, L., Stauffer, J. A., Arasi, L. C., Villacreses, D. E., Franco, J. S. S., Bowers, S., & Elli, E. F.
- Affiliations
- Mayo Clinic in Florida (US)
- Mayo Clinic (US)
- Corresponding author
- Stauffer, John A.
- Venue
- Obesity Surgery
- Published
- 2017-08-01
- Volume
- 28
- Issue
- 2
- Pages
- 444-450
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W2741737287
- Cited by
- 67
- References
- 26
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 9 · 2023: 10 · 2022: 11 · 2021: 13 · 2020: 11 · 2019: 2 · 2018: 4
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- laparoscopic sleeve gastrectomy, orthotopic liver transplantation
- MeSH terms
- Adult, Aged, Female, Gastrectomy, Humans, Length of Stay, Liver Diseases, Male, Middle Aged, Obesity, Morbid, Laparoscopy, Postoperative Complications, Postoperative Period, Retrospective Studies, Weight Loss, Comorbidity, Body Mass Index, Case-Control Studies, Liver Transplantation, Treatment Outcome, Operative Time
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