Table 1: Review of the patients with intraoperatively detected HCC during bariatric surgery.

Pt. no. Age & sex BMI HBS Ag Anti-HCV Fatty liver Triglycerides Liver chemistry DM Bariatric procedure Size (CM) Segment HPE AFP level (ng/ml) Outcome
1 30F 29 Negative Negative Yes High Normal Yes DJB-SG 6 × 5 × 4 3 HCC, well encapsulated,
clear margins
1 Follow up- 2 yr -No chemotherapy. HbA1C
reduced from 10.6% to 6.9%
2 30F 43.7 Positive Negative Yes Normal Normal No LSG 3 × 2 3 HCC, margins involved 74 Follow up- 7 yr -(disease free). Systemic chemotherapy
given, as patient refused angiography or other invasive
treatments. Weight reduced from 121.9 kg to 90 kgs

DJB-SG: Duodeno Jejunal Bypass with Sleeve Gastrectomy; LSG: Laparoscopic Sleeve Gastrectomy; DM: Type 2 Diabetes Mellitus, HPE: Histopathology Report, AFP: Alpha-Fetoprotein, HCC: Hepatocellular Carcinoma.