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For obese individuals with non-alcoholic fatty liver disease (NAFLD), bariatric surgery improves or cures the liver. [82] [83] A preoperative diet such as low-calorie diets or very-low-calorie diet, is usually recommended to reduce liver volume by 16-20%, and preoperative weight loss is the only factor associated with postoperative weight loss.
Overweight and obese people, including children, may find it difficult to lose weight on their own. [9] It is common for dieters to have tried fad diets only to find that they gain weight, or return to their original weight, after ceasing the diet. [10] Some improvement in patient psychological health is noted after bariatric surgery.
A 2016 review estimated bariatric surgery could reduce all-cause mortality by 30-50% in obese people. [1] Bariatric surgery may also lower disease risk, including improvement in cardiovascular disease risk factors, fatty liver disease, and diabetes management. [12]
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Gastric bypass is indicated for the surgical treatment of severe obesity, a diagnosis which is made when the patient is seriously obese, has been unable to achieve satisfactory and sustained weight loss by dietary efforts and has comorbid conditions that are either life-threatening or serious impairment to the quality of life.
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