P-ISSN 2587-2400 | E-ISSN 2587-196X
Alteration of fatty infiltration grades of the liver in sonography as an outcome of cholecystectomy [EJMO]
EJMO. Ahead of Print: EJMO-47965 | DOI: 10.14744/ejmo.2018.47965

Alteration of fatty infiltration grades of the liver in sonography as an outcome of cholecystectomy

Ural Koç1, Hüseyin Eken2
1Department of Radiology, Mengucek Gazi Training and Research Hospital, Erzincan, Turkey
2Department of General Surgery, Erzincan University Mengucek Gazi Training and Research Hospital, Erzincan, Turkey

Aims: Recent studies have not only reported that non-alcoholic fatty liver disease (NAFLD) may be associated with cholecystectomy but also emphasized that cholecystectomy may be a risk factor for the accumulation of fat in the liver. In the light of this information found in the literature, in this study, we compared sonographic fatty infiltration grades of patients that had undergone cholecystectomy using laboratory findings obtained before and after the operation. Material and Methods: . Fifty-nine cases for whom almost complete laboratory and sonographic data was available were included in the study. The patients were divided into three groups according to the preoperative period and postoperative follow-up periods as month-3 and month-6/12. Results: In both groups, there was a statistically significant difference between the preoperative and postoperative steatosis and ultrasound (US) fatty infiltration grades (p <0.001). However, there were no statistically significance between preoperative and two postoperative follow up periods of US fatty liver grades alteration (p=0.650). Hepatic steatosis index had significant correlation with steatosis and US fatty infiltration grades (Spearman’s correlation r2=0.319; r2=0.361, p<0.001, respectively). Conclusions: Cholecystectomy may lead to an increase in the level of fatty infiltration of the liver in the follow-up sonography, may occur over a certain period of time through adaptive processes. Early postoperative US imaging for the purpose of hepatosteatosis follow-up is not necessary.

Keywords: US fatty grades, steatosis, sonography, cholecystectomy



Corresponding Author: Ural Koç, Türkiye

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