INCIDENTAL HEPATIC STEATOSIS IDENTIFIED ON ULTRASOUND IN PATIENTS UNDERGOING CHOLECYSTECTOMY: HIGH PREVALENCE AND INSUFFICIENT INVESTIGATIVE AND CLINICAL MANAGEMENT.

Q2 Medicine
Arquivos de Gastroenterologia Pub Date : 2025-05-02 eCollection Date: 2025-01-01 DOI:10.1590/S0004-2803.24612024-118
Heloísa Mello Trapp, Paulo André Bispo Machado-Júnior, Silvania Klug Pimentel
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引用次数: 0

Abstract

Background: Steatotic liver disease (SLD) affects about 1 billion people globally, making its proper management essential to prevent progression to more severe stages.

Objective: The aim of this study was to evaluate medical management concerning hepatic steatosis incidentally identified by ultrasound in patients undergoing elective cholecystectomy.

Methods: This observational, cross-sectional, and retrospective study included patients aged 18 years or older who underwent elective cholecystectomy at Hospital do Trabalhador, in Curitiba/PR, between 2018 and 2022. Patients with external ultrasound reports or incomplete data in their medical records were excluded. Medical records, laboratory tests, and ultrasound reports were analyzed to evaluate the prevalence of steatosis in these patients.

Results: The study sample consisted of 355 patients, and 103 (29.01%) of them presented steatosis on ultrasound. Older age (P=0.0022), male sex (P=0.03009), higher body mass index (P<0.001), obesity (P<0.001), hypertension (P<0.001), dyslipidemia (P=0.0072), and elevated levels of oxaloacetic and pyruvic aminotransferases (P=0.02112) were associated with the presence of this finding. No action was taken regarding the presence of steatosis in 60.19% of patients. Approximately 39.81% had the finding recorded in their medical records, 6.80% received lifestyle change counseling, and 4.85% were investigated for the stage of steatosis.

Conclusion: A significant prevalence of hepatic steatosis was incidentally identified in the ultrasound of patients undergoing cholecystectomy. However, the approach to this finding was insufficient, highlighting the need for substantial improvements on its management and investigation.

胆囊切除术患者超声检查发现的偶发性肝脂肪变性:患病率高,调查和临床管理不足。
背景:脂肪变性肝病(SLD)影响全球约10亿人,因此对其进行适当管理对于防止进展到更严重的阶段至关重要。目的:探讨择期胆囊切除术患者经超声偶发肝脂肪变性的医疗处理。方法:这项观察性、横断面和回顾性研究纳入了2018年至2022年期间在库里蒂巴/PR的Trabalhador医院接受选择性胆囊切除术的18岁及以上患者。排除有外部超声报告或病历资料不完整的患者。分析了医疗记录、实验室检查和超声报告,以评估这些患者脂肪变性的患病率。结果:本组355例患者超声表现为脂肪变性103例(29.01%)。结论:在胆囊切除术患者的超声检查中发现肝脂肪变性的发生率较高。但是,处理这一调查结果的方法是不够的,突出表明需要对其管理和调查进行重大改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Arquivos de Gastroenterologia
Arquivos de Gastroenterologia Medicine-Gastroenterology
CiteScore
2.00
自引率
0.00%
发文量
109
审稿时长
9 weeks
期刊介绍: The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.
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