Comment on: Impact of a preoperative low calorie diet on liver histology in patients with fatty liver disease undergoing bariatric surgery

Wolf et al.,[1] make a reasonable case that a low calorie diet for two weeks prior to various bariatric operations leads to favorable intraoperative histologic liver changes. This supports the findings of several prior publications that have noted decreases in liver size, radiologic fat content, liver enzymes and levels of hepatic inflammation on pathologic evaluation after weight loss [2-4]. The current manuscript also suggests that preoperative weight loss in these patients predicted improved 6-month postoperative weight loss, although the study size was too small for this to be the leading conclusion of the paper.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research