Abstract

Obesity is commonly associated with Non-Alcoholic Fatty Liver Disease and is a significant cause of chronic liver disease and cirrhosis. Some patients undergoing bariatric surgery have incidental findings of cirrhosis. Currently, there is a lack of consensus on the management of these patients and the safety and efficacy of bariatric surgery in this group. This review aims to provide an update to the previously published systematic review on the same topic. 21 studies reporting experience on patients with cirrhosis undergoing bariatric surgery were included. Sleeve gastrectomy was the most common surgery performed, followed by Roux-En-Y gastric bypass. The results show that bariatric surgery may be feasible in carefully selected patients with obesity and cirrhosis although they may have slightly higher morbidity and mortality rates.