Fatty Liver, Obesity
Conditions
Keywords
bariatrics, transient elastography
Brief summary
Aim: To compare prospectively two bariatric surgery techniques: sleeve gastrectomy (SG) vs gastric bypass (GB) in the evolution of nonalcoholic fatty liver disease (NAFLD) measured by the transient elastography in the first year. Methods: This is a randomized clinical trial with morbidly obese patients, between 18-60 years old from a Federal Hospital, Ministry of Health, Brazil. Patients were divided into 2 groups: group 1 - SG (n = 30) and group 2 - GB (n = 30). The randomization was made by lots. In the GB the investigators created 30 ml pouch, with a pancreatic and an alimentary limb of 1 meter, and a calibrated gastroenterostomy (1.5 cm diameter). In SG the investigators calibrated the gastric tube with a bougie number 32 (70 ml). The variables were compared one week before surgery and in the postoperative time (1, 3, 6 and 12 months). The variables were: patient anthropometry, laboratory tests and the transient liver elastography.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
The eligibility criteria was: * morbid obesity patient grade II or grade III (BMI \> 35) in prepare to bariatric surgery.
Exclusion criteria
The
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure of fatty liver disease by transient hepatic elastography | Participants will be followed an average of 3 months | Tha aim is to compare the evolution of the fatty liver disease between the sleeve gastrectomy and gastric bypass |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Transversal study comparing comorbidities and transient hepatic elastography | Participants will be submitted a correlation with comorbidities | Tha aim is to find some relationship |
Other
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of advanced fibrosis in assyntomatic obese patients | Fibrosis will be assessed by transient hepatic elastography in the pre-operative period | Tha aim is identified patients with advanced disease |
Countries
Brazil