Letter to the Editor: Three questions to be answered when evaluating a super obese patient for urgent liver transplant

doi:10.5500/wjt.v16.i2.115352

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World Journal of Transplantation

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2220-3230

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Transplant. Jun 18, 2026; 16(2): 115352
Published online Jun 18, 2026. doi: 10.5500/wjt.v16.i2.115352

Letter to the Editor: Three questions to be answered when evaluating a super obese patient for urgent liver transplant

Leonardo Baggio, Stefano Gianni, Riccardo De Carlis, Mila Angela Maria Valsecchi, Caterina Barbaglio, Andrea Brunetti, Giovanni Perricone, Andrea Lauterio, Gianpaola Monti

Leonardo Baggio, Department of Medicine and Surgery, Università di Milano Bicocca, Monza 20900, Lombardy, Italy

Stefano Gianni, Mila Angela Maria Valsecchi, Caterina Barbaglio, Andrea Brunetti, Gianpaola Monti, Department of Anesthesia and Intensive Care Medicine, ASST Grande Ospedale Metropolitano Niguarda, Milan 20162, Lombardy, Italy

Riccardo De Carlis, Andrea Lauterio, Department of General Surgery and Transplantation, ASST Grande Ospedale Metropolitano Niguarda, Milan 20162, Lombardy, Italy

Giovanni Perricone, Hepatology and Gastroenterology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan 20162, Lombardy, Italy

Co-first authors: Leonardo Baggio and Stefano Gianni.

Author contributions: Baggio L and Gianni S performed conceptualization, investigation, writing – original draft, writing – review & editing; De Carlis R performed formal analysis, methodology, supervision, validation; Valsecchi MAM, Perricone G, Lauterio A, and Monti G performed supervision, validation; Barbaglio C and Brunetti A performed data curation, supervision.

Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.

Corresponding author: Leonardo Baggio, MD, Department of Medicine and Surgery, Università di Milano Bicocca, Via Podgora 23, Monza 20900, Lombardy, Italy. l.baggio6@campus.unimib.it

Received: October 24, 2025
Revised: November 19, 2025
Accepted: January 19, 2026
Published online: June 18, 2026
Processing time: 218 Days and 15.8 Hours

Core Tip

Core Tip: Perioperative management of super-obese patients eligible for liver transplantation (LT) remains an area with limited evidence and largely depends on the organizational policies of each transplant center. Each case of super-obese patients with severe liver disease undergoing LT is unique and deserves literature reporting to enhance the collective knowledge. Bariatric surgery may be considered before or after LT to improve outcomes in selected cases. This manuscript reports a series of dilemmas arising from the case of a super obese patient undergoing urgent LT.