Sleeve Gastrectomy as Treatment for Severe Obesity after Orthotopic Liver Transplantation

• DOI: 10.1007/s11695-008-9432-z
• Publication Date: 2008-03-26T00:29:50Z
• Authors: Jean M. Butte; Nicolás Devaud; Nicolás P. Jarufe; Camilo Boza; Gustavo Pérez; Javiera Torres; Rosa M. Pérez-Ayuso; Marco Arrese; Jorge Martínez
• Keywords: Sleeve gastrectomy; Severe obesity

Obesity is highly prevalent in both liver transplant candidates and recipients, and can have a significant impact on perioperative morbidity and mortality and the overall cost of transplantation. Herein, we describe an obese patient who was managed sequentially with an intragastric balloon in the pre-transplant setting and a gastric sleeve following transplantation, with good long-term results. Sleeve gastrectomy is a non-malabsorptive bariatric procedure with potential benefit for liver transplant patients due to its lack of influence on the absorption of immunosuppressive agents.