Monitoring of Liver Function Tests after Roux-en-Y Gastric Bypass: An Examination of Evidence Base.

Abstract:

:There is no consensus on the monitoring of liver function tests after Roux-en-Y gastric bypass (RYGB). Since the main objective of such monitoring would be to diagnose early those who will eventually develop liver failure after RYGB, we performed a systematic review on this topic. An extensive search of literature revealed only 10 such cases in 6 published articles. It would hence appear that liver failure is a rare problem after RYGB. Routine lifelong monitoring of liver function tests is therefore unnecessary for otherwise asymptomatic individuals. Such monitoring should hence be reserved for high-risk groups, such as patients with liver cirrhosis, those undergoing extended limb/distal RYGB, patients with new illnesses, those abusing alcohol, those on hepatotoxic drugs and those presenting with a surgical complication.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Mahawar KK,Parmar C,Graham Y,De Alwis N,Carr WR,Jennings N,Small PK

doi

10.1007/s11695-016-2280-3

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

2516-22

issue

10

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-016-2280-3

journal_volume

26

pub_type

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