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Clearing Steatosis Prior to Liver Surgery for Colorectal Metastasis: A Narrative Review and Case Illustration

Published inNutrients, vol. 14, no. 24, 5340
Publication date2022-12-15
First online date2022-12-15
Abstract

Over recent years, non-alcoholic fatty liver disease (NAFLD) has become the most common liver disorder in the developed world, accounting for 20% to 46% of liver abnormalities. Steatosis is the hallmark of NAFLD and is recognized as an important risk factor for complication and death after general surgery, even more so after liver resection. Similarly, liver steatosis also impacts the safety of live liver donation and transplantation. We aim to review surgical outcomes after liver resection for colorectal metastases in patients with steatosis and discuss the most common pre-operative strategies to reduce steatosis. Finally, as illustration, we report the favorable effect of a low-caloric, hyper-protein diet during a two-stage liver resection for colorectal metastases in a patient with severe steatosis.

eng
Keywords
  • Liver surgery
  • Non-alcoholic fatty liver disease
  • Nutrition
  • Protein
  • Protein diet
  • Humans
  • Non-alcoholic Fatty Liver Disease / pathology
  • Liver / surgery
  • Liver / pathology
  • Risk Factors
  • Hepatectomy / adverse effects
  • Colorectal Neoplasms / surgery
  • Colorectal Neoplasms / pathology
Citation (ISO format)
PELOSO, Andréa et al. Clearing Steatosis Prior to Liver Surgery for Colorectal Metastasis: A Narrative Review and Case Illustration. In: Nutrients, 2022, vol. 14, n° 24, p. 5340. doi: 10.3390/nu14245340
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Identifiers
ISSN of the journal2072-6643
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