Bariatric patient gets belly measured

Bariatric Surgery Plus Liver Transplant Delivers Best Results

Researchers at Mayo Clinic found that obese patients who received bariatric surgery at the same time as a liver transplant, were more successful at keeping weight off and had fewer metabolic complications than those who lost weight on their own before undergoing liver transplant surgery. These findings were revealed in an article in the October 2018 edition of Bariatric News.

The same article reported that obesity rates in the U.S. are soaring, and as obesity rates go up, so do the number of people with nonalcoholic fatty liver diseases. These types of chronic liver disease, which result in excess fat being stored in the liver cells, affect 80 to 100 million Americans.

Liver Disease & Obesity

In the U.S., obese patients are sometimes denied much-needed liver transplants if they are not able to lose weight before surgery. Weight loss before a liver transplant is often required to help reduce surgical risks and post-transplant complications. In some cases, a surgeon will perform a liver transplant without the pre-op weight-loss requirement. However, not addressing the patient’s obesity can lead to liver disease in the future and can jeopardize the success of their transplant.

Study of Bariatric Surgery Combined with Liver Transplant

The Mayo Clinic researchers followed 29 patients who had a body mass index (BMI) over 35 and were unable to lose sufficient weight prior to a liver transplant. Instead of losing weight before undergoing liver transplant surgery, these 29 patients received a combined liver transplant plus a sleeve gastrectomy at the same time—during the same surgery.

The research team tracked these patients for 3 years post-surgery, along with patients who had lost weight on their own before receiving their liver transplants. The researchers found that everyone in the study lost weight. However, the patients who hadn’t received the combined gastric sleeve and liver transplant surgery steadily gained the weight back post-op. The patients who received both the liver transplant and the sleeve gastrectomy (gastric sleeve) during the combined surgery were able to keep more weight off long-term.

Bariatric & Transplant “Combo” Patients Had More Success

Three years after surgery, patients who received the weight-loss procedure plus the liver transplant as a combined treatment had maintained a median weight loss of nearly 35%. In addition, the study findings show that those patients who had the dual surgery had lower rates of high blood pressure, insulin resistance and fatty liver. This group also needed less medication to lower blood pressure and cholesterol.

Industry News: Bariatrics

This is curated content. To learn more about the benefits of a liver transplant combined with bariatric surgery, read the full story at:

Liver transplant and bariatric surgery has long term benefits.” By Owen Haskins, Editor in Chief, Bariatric News, October 2018.

miVIP Surgery Centers provide minimally invasive bariatric surgery and patient guidance before, during and after treatment to support your weight loss and health goals. Call miVIP at (855) 516-4847 to learn more about minimally invasive gastric sleeve, gastric bypass and gastric band procedures.

Get to know our bariatric surgeons and weight-loss specialists by visiting the miVIP Physician Directory.

Image Credit: miVIP Surgery Centers and iStock

PUBLISHED 10 Oct, 2018

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