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A study of
liver transplantations performed between 1998 and 1996 has concluded
that outcomes are significantly worse for patients who are significantly
or morbidly obese.
The researchers,
reporting in the journal Hepatology, said 5 percent of the liver
transplant recipients during this period were significantly obese
(a Body Mass Index higher than 35) and 2 percent of the transplant
recipients were morbidly obese (a BMI higher than 40).
"Primary graft
nonfunction, and immediate, 1-year, and 2-year mortality were
significantly higher in the morbidly obese group," the researchers
reported. "Five-year mortality was significantly higher both in
the severely and morbidly obese subjects, mostly as a result of
adverse cardiovascular events."
"Weight loss
should be recommended for all patients awaiting a liver transplantation,
especially if their BMI is more than 35," the researchers concluded.
Other sources: Hepatology
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