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2017, Number 2

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Rev Hosp Jua Mex 2017; 84 (2)

The role of bariatric surgery in the management of non-alcoholic fatty liver disease

Díaz Coppe-Gutiérrez A, Velázquez-Fernández D, Herrera-Hernández MF, Pantoja-Millán JP, Sierra-Salazar M

Language: Spanish
References: 41
Page: 83-92
PDF size: 410.92 Kb.


ABSTRACT

The incidence of non-alcoholic fatty liver disease (NAFLD) has doubled in the last few decades. It has become a common cause of cirrhosis, being obesity its main etiology. Weight loss is considered the ancillary stone in the management of NAFLD. Bariatric surgery has proven to be effective in the management of the morbidly obese and it is associated with clinical improvement, as well as histologic regression of the wide spectrum of diseases within the different stages of NAFLD, including its progression to cirrhosis. There is currently a lack of consensus regarding the safety of bariatric surgery in patients with NAFLD and obesity; evidence on the procedure of choice is scarce. In this paper, we aim to describe the specific advantages and risks of each procedure. Bariatric surgery can be a safe treatment alternative in patients with NAFLD due to obesity, even amongst those with perioperative diagnosis of cirrhosis.


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