Simultaneous Liver Transplantation and Sleeve Gastrectomy: Prohibitive Combination or a Necessity?

Eviatar Nesher, Eytan Mor, Amir Shlomai, Michal Naftaly-Cohen, Renana Yemini, Alexander Yussim, Marius Brown, Andrei Keidar

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


Previously, many morbidly obese (MO) patients were denied liver transplantation (LT) because of the higher operative risk. However., nowadays, 5 and 10 years graft survival is the rule, and patients whose lives can be prolonged with LT are dying of obesity-related comorbidities. Recent experience suggests that weight reduction in MO liver transplant recipients would improve their long-term survival. The bariatric surgery before LT is contraindicated for patients with decompensated cirrhosis, while post-transplant intervention is associated with increased technical difficulty. We present our experience with three patients who underwent simultaneous liver transplantation and sleeve gastrectomy. After a median 13 months follow-up, all patients are alive, having normal allograft function and significant weight loss. Combined liver transplantation with simultaneous sleeve gastrectomy appears technically feasible and relatively safe in selected patients.

Original languageEnglish
Pages (from-to)1387-1390
Number of pages4
JournalObesity Surgery
Issue number5
StatePublished - 1 May 2017
Externally publishedYes


  • Bariatric surgery
  • Liver cirrhosis
  • Liver transplantation
  • Non-alcoholic steatohepatitis
  • Sleeve gastrectomy

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics


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