Hepatic Complications of Obesity

Prevalence of Nonalcoholic Fatty Liver Disease (NAFLD) and Utility of FIBROspect II to Detect Liver Fibrosis in Morbidly Obese Hispano-American Patients Undergoing Gastric Bypass

“…In our Hispanic population, 58% of the patients had some degree of NASH, and about 35% had some degree of fibrosis. The only patient that had cirrhosis was Hispanic [6,[8][9][10]. Adding the patients with steatosis and NASH, approximately 80% of the patients had some degree of fatty liver disease, which is also similar to what the literature describes [6].…”

“…The only patient that had cirrhosis was Hispanic [6,[8][9][10]. Adding the patients with steatosis and NASH, approximately 80% of the patients had some degree of fatty liver disease, which is also similar to what the literature describes [6]. When comparing the Caucasian population to the Hispanic population, our results showed a trend towards having a higher degree of NASH and fibrosis in the Hispanic population, but this was not significant, and this results could be in part due to a small sample and the fact that the Caucasian population in our study was significantly older than the Hispanic population.…”

“…In the past decades in Europe and North America, there has been a rapid increase in the prevalence of morbid obesity as well as their associated conditions, especially nonalcoholic fatty liver disease (NAFLD). In North America, around 32% of the adult population is obese, and as much as 80% of adults with morbid obesity could have fatty liver disease [2,6].…”

“…The exact prevalence of NASH with and without liver fibrosis in the different populations like Caucasians, African American, Hispanics, and Asians has been a matter of research and remains to be clearly defined for each of them [6][7][8][9]. It is of great importance for bariatric surgeons to have clear knowledge of the disease prevalence, behavior, and the available diagnostic tests for liver fibrosis and NASH [10].…”

Surgical treatment of morbid obesity among patients with bipolar disorder: a research agenda

“…Profound weight loss can result in potentially disfiguring redundant skin, which can cause significant psychological distress and lead to dissatisfaction with bariatric surgery 80. Additionally, patients with BD are at risk of the same medical complications of bariatric surgery as all other patients [81][82][83][84][85]. Distress related to medical complications may exacerbate psychiatric symptoms.…”