COMPARISON OF HEPATIC PROFILE IN PRE AND POSTOPERATIVE OF BARIATRIC SURGERY: PRIVATE VS PUBLIC NETWORK

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Taianne Machado Nascimento¹  Antônio Alves-jÚnior¹  Marco Antonio Prado Nunes¹  Tiago Rodrigo Pereira De Freitas¹  Marco Antonio Fontes Sarmento Da Silva¹  Maria Rosa Melo Alves¹ 

关键词: Non-alcoholic Fatty Liver Disease;    Hepatic fibrosis;    Obesity;    Bariatric Surgery;    Hepatopatia Gordurosa não Alcoólica;    Fibrose hepática;    Obesidade;    Bariátrica;   

DOI  :  10.1590/S0102-6720201500040014

来源: SciELO

【 摘 要 】

Background: Obesity is associated to several comorbidities, including nonalcoholic fatty liver disease, which implicates in isolated steatosis to steatohepatitis. The latter may progress to severe manifestations such as liver fibrosis, cirrhosis and hepatocellular carcinoma.Aim: To compare the presence of advanced liver fibrosis before and after bariatric surgery in patients of private and public health system.Methods: Patients from public and privative networks were studied before and after bariatric surgery. The presence or absence of advanced hepatic fibrosis was evaluated by NAFLD Fibrosis Score, a non-invasive method that uses age, BMI, AST/ALT ratio, albumin, platelet count and the presence or absence of hyperglycemia or diabetes. The characteristics of the two groups were compared. The established statistical significance criterion was p<0.05.Results: Were analyzed 40 patients with a mean age of 34.6±9.5 years for private network and 40.6± 10.2 years for public. The study sample, 35% were treated at private health system and 65% in the public ones, 38% male and 62% female. Preoperatively in the private network one (7.1%) patient had advanced liver fibrosis and developed to the absence of liver fibrosis after surgery. In the public eight (30.8%) patients had advanced liver fibrosis preoperatively, and at one year after the proportion fell to six (23%).Conclusion: The non-alcoholic fatty liver disease in its advanced form is more prevalent in obese patients treated in the public network than in the treated at the private network and bariatric surgery may be important therapeutic option in both populations.

【 授权许可】

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