title: COMPARISON OF HEPATIC PROFILE IN PRE AND POSTOPERATIVE OF BARIATRIC SURGERY: PRIVATE VS PUBLIC NETWORK.
abstract: BACKGROUND
  Obesity is associated to several comorbidities, including nonalcoholic fatty liver disease, which implicates in isolated steatosis to steatohepatitis. The latter may progress to severe manifestations such as liver fibrosis, cirrhosis and hepatocellular carcinoma.
  
  
  OBJECTIVE
  To compare the presence of advanced liver fibrosis before and after bariatric surgery in patients of private and public health system.
  
  
  METHODS
  Patients from public and privative networks were studied before and after bariatric surgery. The presence or absence of advanced hepatic fibrosis was evaluated by NAFLD Fibrosis Score, a non-invasive method that uses age, BMI, AST/ALT ratio, albumin, platelet count and the presence or absence of hyperglycemia or diabetes. The characteristics of the two groups were compared. The established statistical significance criterion was p<0.05.
  
  
  RESULTS
  Were analyzed 40 patients with a mean age of 34.6±9.5 years for private network and 40.6± 10.2 years for public. The study sample, 35% were treated at private health system and 65% in the public ones, 38% male and 62% female. Preoperatively in the private network one (7.1%) patient had advanced liver fibrosis and developed to the absence of liver fibrosis after surgery. In the public eight (30.8%) patients had advanced liver fibrosis preoperatively, and at one year after the proportion fell to six (23%).
  
  
  CONCLUSIONS
  The non-alcoholic fatty liver disease in its advanced form is more prevalent in obese patients treated in the public network than in the treated at the private network and bariatric surgery may be important therapeutic option in both populations.
authors.affiliation: University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil.
authors.forename: Taianne Machado
authors.initials: TM
authors.lastname: Nascimento
authors.affiliation: University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil.
authors.forename: Antônio
authors.initials: A
authors.lastname: Alves-Júnior
authors.affiliation: University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil.
authors.forename: Marco Antonio Prado
authors.initials: MA
authors.lastname: Nunes
authors.affiliation: University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil.
authors.forename: Tiago Rodrigo Pereira
authors.initials: TR
authors.lastname: de Freitas
authors.affiliation: University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil.
authors.forename: Marco Antonio Fontes Sarmento
authors.initials: MA
authors.lastname: da Silva
authors.affiliation: University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil.
authors.forename: Maria Rosa Melo
authors.initials: MR
authors.lastname: Alves
mesh_terms: D000328:Adult; D050110:Bariatric Surgery; D005260:Female; D006801:Humans; D008297:Male; D065626:Non-alcoholic Fatty Liver Disease / Q000150:complications* / Q000175:diagnosis; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery*; D011182:Postoperative Care; D011300:Preoperative Care; D017149:Private Sector; D017150:Public Sector