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Table 2 Primary analysis 1 – Estimated mean change from pre- to post-RYGB in each biochemical liver function test, non-invasive ICG clearance test, and histological measures

From: Reversal of fibrosis in patients with nonalcoholic steatohepatosis after gastric bypass surgery

     

Mean Difference

Variable

 

N

Pre-RYG

Post-RYGB

(99.8% CI)†

P-value†

AST, U/L

25

29.9 ± 9.3

23.6 ± 7.9

−6.32 (−15.6, 2.94)

 

0.03

ALT, U/L

25

31 [26, 38]

20 [17, 34]

−7.56 (−22.0, 6.83)

 

0.08

ALK, U/L

25

78.2 ± 19.1

84.0 ± 14.9

5.84 (−7.55, 19.2)

 

0.14

Total bilirubin, mg/dL

25

0.5 [0.4,

0.4 [0.4,

0.01 (−0.15, 0.17)

 

0.79

Albumin, g/dL

25

4.4 ± 0.3

4.2 ± 0.3

−0.20 (−0.38, −0.02)

 

<0.001

PT, second

25

11.3 ± 0.6

11.1 ± 0.5

−0.23 (−0.68, 0.23)

 

0.10

PTT, second

6

29.8 ± 1.6

28.0 ± 0.3

−1.72 (−8.68, 5.25)

 

0.21

ICG K value

19

0.21 ± 0.04

0.22 ± 0.06

0.01 (−0.04, 0.06)

 

0.63

NAS steatosis, No. (%)

15

  

–

 

0.002

  < 5%

 

2 (13)

11 (73)

   

 5–33%

 

6 (40)

3 (20)

   

 34–66%

 

5 (33)

1 (7)

   

  > 66%

 

2 (13)

0 (0)

   

NAS lobular inflammation, No. (%)

15

  

–

 

0.04

 No foci

 

3 (20)

10 (67)

   

  < 2 foci / 200×

 

8 (53)

4 (27)

   

 2–4 foci / 200×

 

3 (20)

1 (7

   

  > 4 foci / 200×

 

1 (7)

0 (0)

   

NAS Hepatocyte Balloon, No. (%)

15

    

0.001

 Absent

3 (20)

 

12 (80)

   

 Few Balloon Cells

10 (67)

 

3 (20)

   

 Many Cells

2 (13)

 

0 (0)

   

Fibrosis, No. (%)

15

  

–

 

0.005

 None

 

0 (0)

6 (40)

   

 Perisinusoidal or periportal

 

0 (0)

0 (0)

   

 1A - Mild, zone 3, perisinusoidal

 

5 (33)

0 (0)

   

 1B - Moderate, zone 3, perisinusoidal

 

1 (7)

1 (7)

   

 1C - Portal/periportal

 

1 (7)

5 (33)

   

 2 - Perisinusoidal and portal/periportal

 

5 (33)

2 (13)

   

 3 - Bridging fibrosis

 

3 (20)

1 (7)

   

 4 - Cirrhosis

 

0 (0)

0 (0)

   
  1. AST Aspartate transaminase, ALT Alanine transaminase, ALK alkaline phosphatase, ICG Indocyanine green, NAS Nonalcoholic steatohepatitis, PT Prothrombin time, PTT Partial Thromboplastin Time
  2. †P-value for testing the null hypothesis that difference is zero using the paired t-test or Wilcoxon signed rank test, as appropriate. The significance criterion was P < 0.002 (i.e., 0.025 / 12; Bonferroni correction)