I haven't had it done, but I have had it discussed with both my gi and my hepatologist. I have non-alcoholic steatohepatitis (fatty liver with inflammation) and they thought I had hepc but I guess I was misdiagnosed. There is a big difference between lapband and gastric bypass and both have different effects on the liver. While some types of this kind of surgery are recommended as a treatment in some cases of fatty liver, I've never heard it being recommended for someone with autoimmune hepatitis.
I think there are some very effective diet options for people with liver problems that only the top docs know about
. They have screwed up so much in dietary recommendations in the past, and many hepatologists are not up on what diets work for people with liver disease. For instance, a low fat diet kills me, while a low carb diet with moderate to high fat actually brought my cholesterol down and was the only way I could lose weight. Some people need to be on a carb heavy diet. From what I have heard from both my docs, bypass surgery would be detrimental to me personally and make my liver condition much worse. Lapband is ineffective in many cases and may break. You can still overeat with lapband or staples, though you may get sick and even die from it, from what they told me.
I have heard that sometimes certain types of bypass surgery would be helpful for my particular liver condition, I am not obese enough or sick enough for them to risk the surgery and possible problems afterward.
I understand that the drugs we take and definitely liver problems makes it very very difficult, if not impossible to lose weight. I would recommend you see a really knowledgeable hepatologist in a research facility, someone who really knows the latest information about
liver disease and treatment and seek out their advice. I go to Borland-Groover and they are very up to date. I would let my other docs definitely have a say in this decision, especially your hepatologist.
Take care and I hope that you do talk to your other docs before proceeding. It has a very serious impact on how the liver works and you wouldn't want to end up much sicker than you were before and possibly unable to take your meds like you need to. Also, I question the use of methotrexate with any liver disease. I would seek a second opinion with a hepatologist (doc that specializes in livers) because from what I understand, methotrexate is contraindicated in anyone with liver disease and can cause liver problems. Please check with your docs on this as well. 19 meds is pretty hefty, I'm on 13 but only 8 that I take every day all the time, others when problems occur.
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments