Baltasar Aniceto
Clinica San Jorge, Alcoy, Spain.
Surg Obes Relat Dis. 2014 Nov-Dec;10(6):e93-6. doi: 10.1016/j.soard.2014.02.013. Epub 2014 Feb 22.
Liver failure (LF) and liver transplant (LT) are rare after a biliopancreatic diversion/duodenal switch procedure for obesity, but occasionally it may happen. Two clinical cases are presented. One patient, 18 years ago, had LF, but a liver donor could not be found, and the patient died. The second patient, 2 years ago, received a successful LT and is now well and asymptomatic. Careful follow-up, medical management and surgical intervention may prevent the occurrence of LF. Transplantation and bowel reversal may be necessary.
对于肥胖症患者进行胆胰分流/十二指肠转位手术后，肝衰竭（LF）和肝移植（LT）较为罕见，但偶尔也可能发生。本文介绍了两例临床病例。一例患者在18年前发生了肝衰竭，但未能找到肝脏供体，患者最终死亡。另一例患者在2年前接受了成功的肝移植手术，目前情况良好且无症状。仔细的随访、药物治疗和手术干预可能会预防肝衰竭的发生。可能需要进行移植和肠道复位手术。
