Whatchu talking about ... Enlarged Fatty Liver?

on 3/18/08 5:35 am, edited 3/18/08 5:36 am - Levittown, PA
DS on 07/02/08 with
OK I had an Abdomenal Ultrasound as part of my pre-surgical testing this morning.  I got my results back already and it says I have an Enlarged Fatty Liver.    It looks like obeseity is one of the main causes.   Is this pretty normal for us?   Will this cause a problem for my surgeon?    Thanks!! Tom
on 3/18/08 5:56 am
DS on 08/20/07 with
It DOES get in the way during surgery. This is why it's VERY important that you follow your surgeon's pre-op diet, to shrink that fatty liver to give him more room to maneuver.
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Jackie W.
on 3/18/08 6:14 am
DS on 08/25/08 with

From what I've read in the binder, Dr B puts his patients on a liquid diet for 5 days before.  That way it shrinks the liver, he has to lift the liver to get to the stomach.  When doing it lap, if the liver is too big, it could give him reason to go open!!

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on 3/18/08 6:18 am - Levittown, PA
DS on 07/02/08 with

Thanks. Yes I am aware of needing to be in a losing state before surgery so the liver is smaller.  I was just wondering if others have had this "diagnosis" and if it should cause me worry.    I'm at least 3 months out from surgery so I will be losing a bunch of weight before on my multi disaplinary prep diet.   Thanks Tom 

on 3/18/08 7:07 am
I had a biopsy at the time of surgery and the report said I think, stage 4. Mine was bad. Sorry I dont have the report in front of me.  At 18 mos post op I can say that my liver blood tests now have gone back to just about normal. So, try not to worry, do the liver shrinking preop and wait for the DS to do its thing.

Darlene    DS ..9-19-06
KellyKirk........8-6-07  now our DS FOREVER ANGEL....I will always remember
185# gone forever


Ample Beauty
on 3/18/08 7:59 am - central, VA
Yea, it's pretty common with the obese.  My surgeon routinely does a liver biopsy during surgery and my initial one was abnormal.  I don't remember the details.  Point is, my second surgery it was NORMAL.  YEA Follow your doc's instructions and don't freak out about this.  It is common.  The doc just wants to know what to expect!
Ample, the Hybrid Caddy -- 488 (76.4)/146(22.8)/140-ish
12/11/2005 Hit by a truck - wt 435/BMI 68     
1/24/2006 VBG w/sleeve - Dr. Elariny
12/5/2006 Revision to D/S and Adjustable Band - Dr. Elariny,
wt 286/BMI 46
7/30/2008 LBL; 10/13/2008 UBL; 12/29/2008 Lipo: Dr Krieger
(deactivated member)
on 3/18/08 8:02 am - TN
DS on 11/03/03 with
It's called NASH and it is very common in morbidly obese people, but it is reversible, Your liver enzymes may actually go up right after the surgery but over the first year or two they should slowly decline to normal. You should strictly limit your use of alcohol and acetaminophen and avoid statins until your liver enzymes are normal. Milk thistle supplements may also help.
on 3/18/08 9:57 am - Tallahassee, FL
Carolyn, you are so smart! Have I told you how much I like you?? Come to Jackson next year! Dianne from FL

SW / GW / CW  5'10"
306 / 165 / 140
With the DS: there is no stoma, so no stoma strictures; there are no limitations (other than volume) against drinking before, during or after meals; 80% of ingested fat is malabsorbed; 98.9% of type II diabetics are CURED of this devastating disease, with data showing stable cure over 10 years out; there is the best average weight loss and most durable (average 76% excess weight loss going out 10 years) of all of the bariatric surgeries.  That's why I had a DS!

(deactivated member)
on 3/18/08 10:01 pm - TN
DS on 11/03/03 with
I am already planning on Jackson next year--y'all had way too much fun without me!
on 3/18/08 8:13 am
Yeah, fatty enlarged liver is very common in MO. it's (was) true of mine too!
Down 165 lbs. as of May 21.