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World J Gastroenterol. Jul 28, 2018; 24(28): 3112-3119
Published online Jul 28, 2018. doi: 10.3748/wjg.v24.i28.3112
Considerations for bariatric surgery in patients with cirrhosis
George Boon-Bee Goh, Philip R Schauer, Arthur J McCullough
George Boon-Bee Goh, Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore 169608, Singapore
George Boon-Bee Goh, Duke-NUS Graduate Medical School, Singapore 169608, Singapore
Philip R Schauer, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH 44195, United States
Arthur J McCullough, Department of Gastroenterology, Cleveland Clinic, Cleveland, OH 44195, United States
Arthur J McCullough, Department of Pathobiology, Cleveland Clinic, Cleveland, OH 44195, United States
Author contributions: All the authors contributed to the writing of this review.
Conflict-of-interest statement: All Authors declare no conflict of interest for this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: George Boon-Bee Goh, MBBS, MRCP, Adjunct Professor, Department of Gastroenterology and Hepatology, Singapore General Hospital, 20 College Road, Academia, Singapore 169856, Singapore. goh.boon.bee@singhealth.com.sg
Telephone: +65-63266137
Received: April 5, 2018
Peer-review started: April 5, 2018
First decision: May 9, 2018
Revised: May 17, 2018
Accepted: June 25, 2018
Article in press: June 25, 2018
Published online: July 28, 2018
Processing time: 113 Days and 19.5 Hours
Core Tip

Core tip: Bariatric surgery can be performed in patients with well compensated cirrhosis, typically of Child’s A status, with minimal complication risks from surgical or hepatic factors. Patients need to be carefully selected and optimised, while surgical technique and modality also play equally important roles. With the onslaught of the non-alcoholic fatty liver disease epidemic and anticipated increase in patients with non-alcoholic steatohepatitis cirrhosis, bariatric surgery may provide an elixir as part of the armamentarium of therapeutic options.