Abdomen, Liver, Ultrasound physics, Elastography, Ultrasound, Education, Treatment effects, eLearning, Cirrhosis, Education and training, Inflammation
E. Lopez Banet1, F. Guzman Aroca2, D. Abellán Rivero1, Y. Martínez Paredes3, A. Navarro Baño4, A. Castillo García5, I. Sánchez-Serrano5, M. J. Martínez Cutillas5; 1El Palmar-Murcia/ES, 2El palmar - murcia/ES, 3El Palmar, Murcia/ES, 4El Palmar/ES, 5Murcia/ES
It was verified a significant reduction of liver ARFI values since the average shear wave velocity declined from 1.74±0.9m/s before surgery to 1.26±0.8m/s after surgery (p<0.02). Fig. 1
Fig. 1: Comparison of ARFI values before and after bariatric surgery
it was detected liver steatosis with ultrasound in 67,5% (n=27) of patients before the procedure.
Severe steatosis was found in 12.5% of patients before surgery.
only 7,5% (n=3) patients had liver steatosis.
These data reflect a significant decrease of liver steatosis after treatment (p<0.0001). Fig. 2
Fig. 2: Comparison of the grade of steatosis in ultrasound before and after treatment
it was determined a significant decrease of BMI,
low-density lipoproteins and triglycerides after the intervention (p<0.003). Fig. 3 Fig. 4
Fig. 3: Comparison of de BMI before and after surgery
Fig. 4: Comparison of analytical parameters before and after treatment
No significant improvement of glutamate pyruvate transaminase,
glutamate oxaloacetate transaminase nor platelets levels was found.
The results of liver elastography,
together with clinical and analytical data and ultrasound features,
reflect regression of non-alcoholic steatohepatitis after bariatric surgery.