Among asymptomatic overweight individuals attending an out-patient clinic, the prevalence of liver steatosis on ultrasound is 57%. Female gender, the insulin resistance index, and low adiponectin are significant and independent predictors of liver steatosis. A combination of these three factors allows sensitivity and specificity for non alcoholic fatty liver of 77% and 91%, respectively.
Gastric banding for the treatment of obesity can be safely performed in an outpatient setting. Advanced age, higher BMI and diabetes adversely affect same-day discharge and should be taken into consideration when planning an ambulatory LAGB.
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