Document title: The liver and bariatric surgery
Journal: Revista mexicana de endocrinología metabolismo & nutrición
Database: PERIÓDICA
System number: 000385819
ISSN: 2339-9643
Authors: 1
1
2
Institutions: 1Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Guadalajara, Jalisco. México
2Universite de Sherbrooke, Faculty of Medicine and Health Sciences, Sherbrooke, Quebec. Canadá
Year:
Season: Ene-Mar
Volumen: 2
Number: 1
Pages: 29-34
Country: México
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract The association between obesity and chronic liver disease is well known. The path that this disorder follows has a very wide clinical spectrum, ranging from asymptomatic steatosis to steatohepatitis, fibrosis, cirrhosis, and hepatocellular carcinoma. The final stages of the disease are irreversible and aggressive, and the progression causes death. Unfortunately, there are no clearly effective treatments for these patients. One of the difficulties in identifying effective treatments is the need for long-term studies since the progression of nonalcoholic steatohepatitis to cirrhosis and its complications occurs slowly. Many different treatments have been studied, but the current mainstays of treatment aim to reduce weight and improve the metabolic disturbances associated with the metabolic syndrome, such as glucose, cholesterol and triglycerides and hypertension. Weight loss and exercise are among the most promising treatments for nonalcoholic fatty liver disease. It does not take large amounts of weight loss to result in a decrease in liver fat. It is well known that only a minority of patients are able to accomplish this. Bariatric surgery has been shown to be superior to conservative measures with respect to weight reduction in the obese. It can lower the long-term morbidity of obesity by up to 40% and significantly decrease the incidence of illnesses associated with it. Since obesity is the main cause of nonalcoholic fatty liver disease, bariatric surgery is starting to be used as a means of treatment for the disease. Several authors concluded that nonalcoholic fatty liver disease, including steatohepatitis, improved significantly with weight loss after bariatric surgery
Disciplines: Medicina
Keyword: Cirugía,
Gastroenterología,
Metabolismo y nutrición,
Obesidad,
Hígado graso no alcohólico,
Fibrosis,
Cirrosis,
Cirugía bariátrica
Keyword: Medicine,
Gastroenterology,
Metabolism and nutrition,
Surgery,
Obesity,
Non alcoholic fatty liver,
Fibrosis,
Cirrhosis,
Bariatric surgery
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