Acute Liver Injury and Acute Liver Failure following Bariatric Surgery

• Published in: Case reports in gastroenterology Vol. 16; no. 1; pp. 240 - 246
• Main Authors: van Golen, Rowan F., de Waard, Nadine E., Moolenaar, Laura R., Inderson, Akin, Crobach, Stijn, Langers, Alexandra M.J., van Hoek, Bart, Tushuizen, Maarten E.
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland S. Karger AG 01-01-2022; Karger Publishers
• Subjects: Abdomen; Amino acids; Analgesics; Biochemistry; Biopsy; Body mass index; Case reports; Case Series; Dietary supplements; gastric bypass; Gastrointestinal surgery; Hepatitis; Hypertension; Hypotension; Inflammation; Laboratories; Laparoscopy; Liver diseases; liver injury; liver transplantation; Liver transplants; Malnutrition; Medical referrals; Morphology; Obesity; protein malnutrition; Proteins; Serology; steatohepatitis; Surgeons; Weight control; Protein malnutrition; Steatohepatitis; Gastric bypass; Liver injury; Liver transplantation
• ISSN: 1662-0631; 1662-0631
• DOI: 10.1159/000523964

Abstract
Bariatric surgery is the most effective treatment for obesity and improves several manifestations of the metabolic syndrome, including nonalcoholic fatty liver disease. Strict nutritional counseling after bariatric surgery is a key in realizing these outcomes. When postoperative nutrient intake or nutrient uptake is compromised, bariatric surgery can also lead to severe hepatic complications. Here, we describe 3 cases of acute liver injury and acute liver failure caused by bariatric surgery, all with different management strategies and outcomes.