Treating morbid obesity in cirrhosis: A quest of holy grail

Table 2 Studies of bariatric surgery in cirrhotic patients

Ref.	Study characteristics	Cirrhosis diagnosis	Child pugh	Procedures	Complications	Liver decompensation	Mortality
Pestana et al[74]	Mean age = 55.5 yr	Known cirrhosis	A = 14	SG = 11	0	1 (late HE)	0
n = 14				RYGB = 3
F:M = 10:4
Shimizu et al[73]	Mean age = 51.5 yr	12 preoperatively	A = 22	RYGB = 14	8	0	0
n = 23	Mean BMI = 48.2 kg/m2	11 intraoperatively	B = 1	SG = 8
F:M = 14:9	Mean stay = 4.3 d			AGB = 1
Rebibo et al[78]	Median age = 52 yr	All intraoperatively	A = 13	SG = 13	2	1 (ascites)	0
n = 13	Median BMI = 46.3 kg/m2
F:M = 7:6
Takata et al[71]	Mean age = 52 yr	All preoperatively	A = 4	SG = 6	2	1 (ascites)	0
n = 6	Mean BMI = 49 kg/m2		B = 2			1 (HE)
F:M = 4:2
Dallal et al[76]	Mean age = 50 yr	Diagnosed intraoperatively	A = 30	RYGB = 27	9	0	0
n = 30	Mean BMI = 52.6 kg/m2	in 27 (90%)		SG = 3
F:M = 20:20	Mean hospital stay = 4 d
Kral et al[77]	Mean age = 40 yr	All intraoperatively	NA	BPD = 14	2	2	2 (one late
n = 14	Mean BMI = 54 kg/m2						hepatic failure)
F:M = 10:4
Woodford et al[75]	Mean age = 52.5 yr	All intraoperatively	A or B	AGB = 14	2	0	0
n = 14	Mean BMI = 38.9 kg/m2
F:M = 10:4

RYGB: Roux-en-Y gastric bypass; SG: Sleeve gastrectomy; BPD: Bilio-pancreatic diversion; AGB: Adjustable gastric banding; HE: Hepatic encephalopathy; M: Male; F: Female; BMI: Body mass index.