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Case Reports in Transplantation
Volume 2013, Article ID 279651, 2 pages
http://dx.doi.org/10.1155/2013/279651
Case Report

Single-Lobe Living Donor Liver Transplant in a Morbidly Obese Cirrhotic Patient Preceded by Laparoscopic Sleeve Gastrectomy

1Department of Gastroenterology and Hepatology, Indraprastha Apollo Hospital, Delhi 110076, India
2Department of Surgical Gastroenterology & Liver Transplantation, Centre for Liver & Biliary Surgery, Indraprastha Apollo Hospital, Delhi 110076, India

Received 12 July 2013; Accepted 20 August 2013

Academic Editors: D. Capone and Y. Sugawara

Copyright © 2013 Sunil Taneja et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Nonalcoholic steatohepatitis (NASH) is a stage of nonalcoholic fatty liver disease (NAFLD), and, in most patients, it is associated with obesity and metabolic syndrome with progression to end-stage liver disease in about 20% of patients (McCullough (2004); Matteoni et al. (1999); Liou and Kowdley (2006)). It has been estimated that between 20 and 30% of patients with end-stage cirrhosis referred for liver transplantation (LT) evaluation and 30 to 70% of LT recipients exhibit some degree of obesity (Muñoz and ElGenaidi (2005)). Management of obesity in chronic liver disease patients is not only difficult but also preludes them from undergoing major bariatric surgery due to associated high morbidity and mortality. Here, we present a case report of a morbidly obese patient who underwent laparoscopic sleeve gastrectomy followed by single-lobe living donor liver transplantation (LDLT) with a successful outcome. We believe that this is the first report of successful LDLT following planned weight loss to facilitate LDLT.