Non-alcoholic fatty liver disease surgery: Difference between revisions
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* The most common procedures are [[Adjustable gastric banding surgery|adjustable gastric banding]] and the [[Roux-en-Y|Roux-en-Y bypass]].<ref name="pmid28507929">{{cite journal |vauthors=Vizuete J, Camero A, Malakouti M, Garapati K, Gutierrez J |title=Perspectives on Nonalcoholic Fatty Liver Disease: An Overview of Present and Future Therapies |journal=J Clin Transl Hepatol |volume=5 |issue=1 |pages=67–75 |year=2017 |pmid=28507929 |pmc=5411359 |doi=10.14218/JCTH.2016.00061 |url=}}</ref> | * The most common procedures are [[Adjustable gastric banding surgery|adjustable gastric banding]] and the [[Roux-en-Y|Roux-en-Y bypass]].<ref name="pmid28507929">{{cite journal |vauthors=Vizuete J, Camero A, Malakouti M, Garapati K, Gutierrez J |title=Perspectives on Nonalcoholic Fatty Liver Disease: An Overview of Present and Future Therapies |journal=J Clin Transl Hepatol |volume=5 |issue=1 |pages=67–75 |year=2017 |pmid=28507929 |pmc=5411359 |doi=10.14218/JCTH.2016.00061 |url=}}</ref> | ||
* A Y-shaped section of the [[ileum]] is attached to the pouch so that [[food]] bypasses the [[duodenum]] and [[Jejunum|proximal section of the jejunum]]. | * A Y-shaped section of the [[ileum]] is attached to the pouch so that [[food]] bypasses the [[duodenum]] and [[Jejunum|proximal section of the jejunum]]. | ||
* An Laparoscopic sleeve gastrectomy may be a secure and powerful treatment of weight problems in adult patients. Significant and sustained weight reduction results in the improvement NAFLD.<ref name="pmid29264490">{{cite journal |vauthors=Boscolo M, Féry F, Cnop M |title=Beneficial Outcomes of Sleeve Gastrectomy in a Morbidly Obese Patient With Bardet-Biedl Syndrome |journal=J Endocr Soc |volume=1 |issue=4 |pages=317–322 |year=2017 |pmid=29264490 |doi=10.1210/js.2017-00071 |url=}}</ref> | |||
* The size of the [[stomach]] is reduced either by stapling or [[Banding (medical)|banding]], creating a small pouch, assisting with [[weight loss]] by inducing | * The size of the [[stomach]] is reduced either by stapling or [[Banding (medical)|banding]], creating a small pouch, assisting with [[weight loss]] by inducing | ||
Revision as of 00:40, 23 December 2017
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Non-Alcoholic Fatty Liver Disease Microchapters |
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Differentiating Non-Alcoholic Fatty Liver Disease from other Diseases |
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Diagnosis |
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Treatment |
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Case studies |
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Non-alcoholic fatty liver disease surgery On the Web |
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American Roentgen Ray Society Images of Non-alcoholic fatty liver disease surgery |
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Directions to Hospitals Treating Non-alcoholic fatty liver disease |
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Risk calculators and risk factors for Non-alcoholic fatty liver disease surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Surgical intervention is not recommended for the management of non-alcoholic fatty liver disease. However, gastric bypass surgery is recommended in patients with non-alcoholic fatty liver disease and BMI greater than 40 who psychologically stable and failed medical therapy.
Surgery
Indications
- Patients with NAFLD and BMI greater than 40 who psychologically stable
- In patients who failed medical therapy.
Surgical options
- The most common procedures are adjustable gastric banding and the Roux-en-Y bypass.[1]
- A Y-shaped section of the ileum is attached to the pouch so that food bypasses the duodenum and proximal section of the jejunum.
- An Laparoscopic sleeve gastrectomy may be a secure and powerful treatment of weight problems in adult patients. Significant and sustained weight reduction results in the improvement NAFLD.[2]
- The size of the stomach is reduced either by stapling or banding, creating a small pouch, assisting with weight loss by inducing
- Earlier satiety
- Reducing caloric intake
- Decreasing absorptive capacity
Complications
- Early complications include:
- Late complications include
References
- ↑ Vizuete J, Camero A, Malakouti M, Garapati K, Gutierrez J (2017). "Perspectives on Nonalcoholic Fatty Liver Disease: An Overview of Present and Future Therapies". J Clin Transl Hepatol. 5 (1): 67–75. doi:10.14218/JCTH.2016.00061. PMC 5411359. PMID 28507929.
- ↑ Boscolo M, Féry F, Cnop M (2017). "Beneficial Outcomes of Sleeve Gastrectomy in a Morbidly Obese Patient With Bardet-Biedl Syndrome". J Endocr Soc. 1 (4): 317–322. doi:10.1210/js.2017-00071. PMID 29264490.