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Baseline Presence of NAFLD Predicts Weight Loss after Gastric Bypass Surgery for Morbid Obesity

Karl P. Rheinwalt; Uta Drebber; Robert Schierwagen; Sabine D. Klein; Ulf P. Neumann; Tom Florian Ulmer; Andreas Plamper; +7 Authors

Baseline Presence of NAFLD Predicts Weight Loss after Gastric Bypass Surgery for Morbid Obesity

Abstract

weight loss. Data about the influence of Non-alcoholic fatty liver disease (NAFLD) on early postoperative weight loss are scarce. Methods. This prospective, single-center cohort study included 143 patients receiving laparoscopic gastric bypass surgery (One Anastomosis-Mini Gastric Bypass (OAGB-MGB) or Roux-en-Y Gastric Bypass (RYGB)). Liver biopsies were acquired at surgery. NAFLD activity score (NAS) assigned patients to &ldquo

. Follow up data were collected at 3, 6 and 12 months. Results. In total, 49.7% of patients had NASH, while 41.3% had NAFL. Compared with the No NAFLD group, NAFL and NASH showed higher body-mass-index (BMI) at follow-up (6 months: 31.0 kg/m2 vs. 36.8 kg/m2 and 36.1 kg/m2, 12 months: 27.0 kg/m2 vs. 34.4 and 32.8 kg/m2) and lower percentage of total body weight loss (%TBWL): (6 months: 27.1% vs. 23.3% and 24.4%

12 months: 38.5% vs. 30.1 and 32.6%). Linear regression of NAS points significantly predicts percentage of excessive weight loss (%EWL) after 6 months (Cologne-weight-loss-prediction-score). Conclusions. Histopathological presence of NAFLD might lead to inferior postoperative weight reduction after gastric bypass surgery. The mechanisms underlying this observation should be further studied.

Background. Bariatric surgery is a widely used treatment for morbid obesity. Prediction of postoperative weight loss currently relies on prediction models, which mostly overestimate patients&rsquo

No NAFLD&rdquo

NAFL&rdquo

NASH&rdquo

or &ldquo

, &ldquo

Countries
Germany, Netherlands
Subjects by Vocabulary

Medical Subject Headings: nutritional and metabolic diseases digestive system diseases

Microsoft Academic Graph classification: Gastric bypass surgery medicine.disease_cause medicine Gastric bypass business.industry business Fatty liver medicine.disease Total body Weight loss medicine.symptom Internal medicine medicine.medical_specialty Gastroenterology Cohort study Excessive weight loss Morbid obesity

Library of Congress Subject Headings: lcsh:Medicine lcsh:R

Dewey Decimal Classification: ddc:610

Keywords

Article, Roux-en-Y gastric bypass, one anastomosis gastric bypass, mini gastric bypass, NAFLD, NASH, weight loss, General Medicine, SIMPLE NONINVASIVE INDEX, BARIATRIC SURGERY, SIGNIFICANT FIBROSIS, SLEEVE GASTRECTOMY, SCORING SYSTEM, VALIDATION

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    5
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
  • citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    5
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Average
Average
Metrics badge
Funded by
EC| MICROB-PREDICT
Project
MICROB-PREDICT
MICROBiome-based biomarkers to PREDICT decompensation of liver cirrhosis and treatment response
  • Funder: European Commission (EC)
  • Project Code: 825694
  • Funding stream: H2020 | RIA
Validated by funder
,
EC| GALAXY
Project
GALAXY
GALAXY: Gut-and-liver axis in alcoholic liver fibrosis
  • Funder: European Commission (EC)
  • Project Code: 668031
  • Funding stream: H2020 | RIA
Validated by funder | sysimport:crosswalk:repository
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