OBJECTIVE: To determine the incidence and outcome of @entity82 encountered unexpectedly during gastric bariatric operations. DESIGN: A cohort study. SETTING: A tertiary care center. @entity1 : One hundred twenty-five @entity1 in whom @entity82 was discovered during gastric bariatric operations. @entity82 may have been caused by severe @entity28 in 93 (74%) of the @entity1 . INTERVENTIONS: A questionnaire survey of bariatric surgeons worldwide, including one of us (R.E.B.). RESULTS: One hundred twenty-six (52%) of the 243 surgeons responded to the survey. Planned bariatric operations were performed in 91 (73%) of the cases. Seventeen (14%) of the remaining cases were closed after the discovery of @entity82 . There were no intraoperative deaths. However, the perioperative mortality rate was 4% and there were 7 late deaths, 6 due to complications of @entity409 . Eleven other @entity1 are described as alive with progressive @entity409 . The remaining 50 @entity1 are "alive and well." The survey also included opinion questions. Regarding the appropriate operation to perform after discovering @entity82 , 40% replied "perform liver biopsy only and close"; the remaining 60% would perform a bariatric procedure. Regarding bariatric operations that can be safely performed in @entity1 with @entity82 , 59% would perform banded gastroplasty, 39% would perform standard Roux-en-Y gastric bypass, 5% would perform biliopancreatic bypass, and 27% would perform none of the above. CONCLUSION: Although operative mortality is higher in cirrhotic vs other bariatric @entity1 , most surveyed surgeons believe that gastric restrictive operations can be performed safely in this group of @entity1 .

Unsuspected XXXX discovered during elective @entity28 operations.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity82 :: ('MESH:D005355', 'Disease') :: ['cirrhosis', 'Cirrhosis'] @entity409 :: ('MESH:D008107', 'Disease') :: ['hepatic dysfunction', 'liver disease'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity']
@entity82 :: (MESH:D005355,Disease) :: ['cirrhosis']
