Liver steatosis or nonalcoholic fatty liver disease (NAFLD) is a
progressive disorder characterized by the fat accumulation in the
parenchyma of the liver. The progressive form of NAFLD called
nonalcoholic steatohepatitis (NASH) is the advanced condition that
shows different grades of fibrosis, which could progress to
cirrhosis, hepatocellular carcinoma and liver-related morbidity and
mortality. Bariatric surgery gains attention as a potential
treatment for liver steatosis because different studies revealed an
improvement in 90% of cases of fatty liver after surgery. The
improvement occurred within the first year and persisted up to five
years. Pathogenic mechanisms that are involved in the evolution
steatosis are intimately connected with insulin resistance, type 2
diabetes (T2D) and the metabolic syndrome. Bariatric surgery is a
powerful treatment to ameliorate all these conditions. The aim of
this book is to update the actual evidence about liver steatosis,
non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
in morbidly obese patients, the diagnostic methods and the
evolution after the different techniques of bariatric surgery.
General
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