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Alcohol associated liver disease and bariatric surgery: Current perspectives and future directions
Katherine M Cooper1, Alessandro Colletta2, Nicholas Hebda2
1Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, United States. katherine.cooper@umassmed.edu.
Abstract:
Bariatric surgery is a routinely performed procedure and is associated with a reduction in all-cause mortality in patients with obesity. However, bariatric surgery has also been linked to increased alcohol use with up to 30% of these patients developing alcohol use disorder (AUD). The mechanism of AUD after bariatric surgery is multifactorial and includes anatomic, metabolic, and neurohumoral changes associated with post-surgical anatomy. These patients are at increased risk of alcohol associated liver disease and, in some cases, require liver transplantation. In this article, we provide a scoping review of epidemiology, pathophysiology, and clinical outcomes of alcohol-related health conditions after bariatric surgery.
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