Remission of Nonalcoholic Fatty Liver Disease After Radical Surgery in Patients with Colorectal Cancer: A Single-Center Retrospective Study.
Zi-Wei LiXin-Peng ShuFei LiuXu-Rui LiuYue TongQuan LvXiao-Yu LiuWei ZhangDong PengPublished in: Metabolic syndrome and related disorders (2024)
Purpose: The purpose of this study was to investigate the relationship between remission of nonalcoholic fatty liver disease (NAFLD) and radical surgery for colorectal cancer (CRC) patients. Methods: From January 2014 to December 2021, data of patients with concurrent CRC and NAFLD who underwent radical surgery in a single-center hospital were retrospectively collected. NAFLD was defined as a mean computed tomography (CT) liver attenuation value of <40 Hounsfield units (HUs). Comparison of preoperative and 1-year postoperative CT images was performed to evaluate the change of NAFLD. Multivariate logistic regression analysis was performed to identify independent predictive factors for NAFLD remission. The Kaplan-Meier method was used to estimate overall survival (OS) and disease-free survival (DFS) between the remission group and no remission group. Results: In this study, a total of 55 eligible patients were included. The remission group had 33 (60.0%) patients and the no remission group had 22 (40.0%) patients. The mean preoperative weight was 66.1 ± 9.9 kg. The mean preoperative body mass index (BMI) was 25.4 ± 2.5 kg/m 2 . We found that the average weight was significantly decreased ( P < 0.01), average BMI was significantly decreased ( P < 0.01), and HU score was significantly increased ( P < 0.01). By comparing baseline characteristics between the remission group and no remission group, we found that the remission group exhibited larger tumor sizes ( P = 0.036) than the no remission group. In the multivariate logistic regression analysis, we found that weight change was a predictor for NAFLD (odds ratio = 0.764, 95% confidence interval = 0.618-0.944, P = 0.013). We did not find any statistically significant differences in OS ( P = 0.182) or DFS ( P = 0.248) between the remission group and no remission group. Conclusions: The NAFLD remission rate reached 60.0% for CRC patients 1 year after radical surgery. In addition, we found that weight change was a predictor of NAFLD remission.
Keyphrases
- body mass index
- disease activity
- end stage renal disease
- computed tomography
- ejection fraction
- newly diagnosed
- chronic kidney disease
- rheumatoid arthritis
- patients undergoing
- healthcare
- patient reported outcomes
- free survival
- coronary artery bypass
- magnetic resonance
- radiation therapy
- big data
- deep learning
- electronic health record
- liver fibrosis
- surgical site infection