Background

Chronic liver disease (CLD) is a risk factor for surgical complications and can be a relative contraindication to bariatric surgery. This study evaluates early outcomes after bariatric surgery in patients with CLD with and without liver cirrhosis(LC).

Methods

In a retrospective analysis of 2012–2016 Healthcare Cost and Utilization Project-National Inpatient Sample, adult patients with obesity undergoing laparoscopic sleeve gastrectomy(SG) or Roux-en-Y gastric bypass(RYGB) were studied. CLD and LC were identified along with patient comorbidities. Outcomes were Long Hospital Stay (LHS) defined as ≥5 days (as a proxy of complicated course), blood product transfusion, total hospital charges, and in-hospital mortality. Binary logistic regression was used for multivariate analysis(MVA).

Results

In a retrospective analysis of 2012–2016 Healthcare Cost and Utilization Project-National Inpatient Sample, adult patients with obesity undergoing laparoscopic sleeve gastrectomy(SG) or Roux-en-Y gastric bypass(RYGB) were studied. CLD and LC were identified along with patient comorbidities. Outcomes were Long Hospital Stay (LHS) defined as ≥5 days (as a proxy of complicated course), blood product transfusion, total hospital charges, and in-hospital mortality. Binary logistic regression was used for multivariate analysis(MVA).

Conclusions

Bariatric surgery can be performed safely in appropriately selected patients with non-cirrhotic CLD and LC. Further studies are needed to assess long-term outcomes of bariatric surgery in CLD.