Manoj Gupta*, Bhushan Bhole and KR Vasudevan

Department of Liver Transplant and Surgical Gastroenterology, PSRI Hospital, New Delhi, India

*Corresponding Author: Manoj Gupta, Department of Liver Transplant and Surgical Gastroenterology, PSRI Hospital, New Delhi, India.

Received: April 08, 2021; Published: May 31, 2021

Abstract

Background: Hepatic steatosis is one of the most common causes of an increasing prevalence of non-alcoholic fatty liver disease (NAFLD) [1]. NAFLD is one of the most common causes of chronic liver disease. Weight reduction by bariatric surgery can prevent the progression of NAFLD to chronic liver disease.

Case Report: Liver donor was 50 year old female who donated for her husband. She was having past history of laparoscopic sleeve gastrectomy and her recent BMI was more than 35. On evaluation, USG abdomen was normal. MR fat estimation showed 3 - 5% fat fraction in her right and left lobe (Picture 1). Ct volumetric analysis showed adequate remnant and graft volume. Liver biopsy analysis showed 5 - 7% fat fraction without any sign of portal inflammation or fibrosis (Picture 2). During operation her liver was looking normal with adequate volume and remnant, Right lobe was taken out without middle hepatic vein. She tolerated procedure well. Her post-operative recovery was uneventful. Patient also recovered well.

Conclusion: There are not enough similar studies, this case report has shown that in selected cases, post bariatric surgery obese person can also be considered for liver donation safely, though larger studies needed to confirm it.

Keywords: Non-Alcoholic Fatty Liver Disease (NAFLD); Liver Transplantation; Chronic Liver Disease

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Citation

Citation: Manoj Gupta., et al. “Right Hepatectomy in Post Bariatric Surgery Living Donor: Case Report”. Acta Scientific Gastrointestinal Disorders 4.6 (2021): 78-81.

Copyright

Copyright: © 2021 Manoj Gupta., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.