{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T18:09:01Z","timestamp":1781978941337,"version":"3.54.5"},"reference-count":49,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T00:00:00Z","timestamp":1508976000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T00:00:00Z","timestamp":1508976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:p>Nonalcoholic fatty liver disease is becoming the leading cause of disease resulting in liver transplantation (LT). As a result of this trend, more LT candidates are presenting with prior history of bariatric surgery (BS). Over the last decade, 960 patients underwent LT at our institution; 11 (1.1%) had prior BS. The most common type of BS was Roux\u2010en\u2010Y gastric bypass (n\u2009=\u20099) with 1 sleeve gastrectomy and 1 jejunoileal bypass. A total of 9 patients underwent LT alone, and 2 underwent simultaneous liver\u2010kidney transplantation. The most common indication for LT was nonalcoholic steatohepatitis (n\u2009=\u200910) with 5 having additional diagnosis of alcoholic liver disease. The 30\u2010day reoperation rate was 36.4% (n\u2009=\u20094); indications were bile duct repair (n\u2009=\u20093) and wound repair (n\u2009=\u20091). In the first 6 months after LT, biliary complications were seen in 54.5% (n\u2009=\u20096) of the patients. Both patient and graft survival rates at 1 and 2 years were 81.8% (n\u2009=\u20099) and 72.7% (n\u2009=\u20098), respectively. A total of 8 patients (72.7%) had indications for liver biopsy after LT; significant macrovesicular steatosis was found in 2 (18.2%). In patients with a history of alcohol consumption, 2 (40.0%) relapsed after LT. Two patients (18.2%) had a history of diet\u2010controlled diabetes before LT; 1 of these patients became insulin dependent after LT. Mean body mass index (BMI) at LT was 31.0\u2009\u00b1\u20095.7\u2009kg\/m<jats:sup>2<\/jats:sup>. Mean BMI at 1, 6, and 12 months after LT was 28.3\u2009\u00b1\u20095.8, 28.0\u2009\u00b1\u20093.2, and 31.0\u2009\u00b1\u20096.6\u2009kg\/m<jats:sup>2<\/jats:sup>, respectively. Mean preoperative albumin was 2.6\u2009\u00b1\u20090.6\u2009mg\/dL. Patients showed improvement in albumin after LT, with mean albumin of 2.7\u2009\u00b1\u20090.6 and 3.2\u2009\u00b1\u20090.5\u2009mg\/dL at 1 and 3 months, respectively. The liver profile was stable after LT, with mean aspartate aminotransferase of 32.9\u2009\u00b1\u200918.4 and 26.6\u2009\u00b1\u200919.8 IU\/L and alanine aminotransferase of 28.0\u2009\u00b1\u200917.5 and 30.2\u2009\u00b1\u200917.0 IU\/L at 6 and 12 months, respectively. In conclusion, outcomes of LT patients with prior BS are comparable with other transplant recipients with regards to patient and graft survival and post\u2010LT complication rates. <jats:italic toggle=\"yes\">Liver Transplantation 23 1415\u20131421 2017<\/jats:italic> AASLD.<\/jats:p>","DOI":"10.1002\/lt.24832","type":"journal-article","created":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T11:56:43Z","timestamp":1501243003000},"page":"1415-1421","source":"Crossref","is-referenced-by-count":48,"title":["Outcome of liver transplantation in patients with prior bariatric surgery"],"prefix":"10.1097","volume":"23","author":[{"given":"Mohamed","family":"Safwan","sequence":"first","affiliation":[{"name":"Divison of Transplant and Hepatobiliary Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly M.","family":"Collins","sequence":"additional","affiliation":[{"name":"Divison of Transplant and Hepatobiliary Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan S.","family":"Abouljoud","sequence":"additional","affiliation":[{"name":"Divison of Transplant and Hepatobiliary Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reena","family":"Salgia","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology,Henry Ford Hospital,Detroit,MI"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,10,26]]},"reference":[{"key":"lt24832-bib-0001-20240115","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1007\/s10620-016-4035-3","article-title":"Nonalcoholic fatty liver disease: key considerations before and after liver transplantation","volume":"61","year":"2016","journal-title":"Dig Dis Sci"},{"key":"lt24832-bib-0002-20240115","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/j.jhep.2016.07.033","article-title":"NAFLD and liver transplantation: current 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