Fatty liver is becoming more and more widespread in the population and younger, and the course of the disease is changing faster and faster! At present, the rate of fatty liver suffering from serious illness in China is increasing year by year. Early stage of fatty liver is almost asymptomatic and therefore ignored by most people. However, if fatty liver is not prevented and treated in time, hepatitis, liver fibrosis, liver cirrhosis and liver cancer may follow. The liver is the largest digestive gland in the body, and fatty liver is also the first step in a comprehensive metabolic disease. If not well controlled, it can gradually become a type 2 diabetic and has the risk of cardiovascular accidents such as cerebral infarction, cerebral hemorrhage, coronary heart disease and myocardial infarction. What is fatty liver? Fatty liver is a common pathological change of the liver caused by excessive accumulation of fat in liver cells due to various reasons. Its clinical manifestations vary from person to person, ranging from asymptomatic in mild cases to a serious health risk in severe cases. Generally speaking, fatty liver is a reversible disease, early diagnosis and timely treatment can often be restored to normal. What is the mechanism of formation of obese fatty liver? There are many reasons for fatty liver, the main reason is obesity. The degree of fat accumulation in the liver is directly proportional to body weight, and about half of the fatty people suffer from fatty liver. Normally, the liver contains only a small amount of fat, about 4% to 7% of the liver volume, half of which is triglycerides and half is phosphatidylcholine and cholesterol. The liver synthesizes fatty acids from the blood into triglycerides, which then combine with apolipoproteins to produce lipoproteins
(mainly very low density lipoproteins) and releases them into the blood. In obese people, the balance between synthesis and transport of triglycerides is abnormal. On the one hand, the fatty acid intake of obese people increases and the liver synthesizes more triglycerides; on the other hand, the concentration of very low density lipoproteins in the blood of obese people is too high, which makes it difficult for the very low density lipoproteins synthesized in the liver to be exported to the blood, so a large amount of triglycerides accumulate in the liver and a fatty liver is formed. How to treat fatty liver effectively? Treatment of the disease should start from the cause. If the fatty liver is caused by obesity, weight loss is the first step; if the fatty liver is diabetic, blood sugar should be actively and effectively controlled. However, many friends are still taking ineffective or even wrong measures, taking weight loss pills and long-term medication to lower blood sugar will increase the load on the liver and cause further damage. Experts point out that treating obesity and diabetes through surgery is a good choice for fat and sugar lovers to treat fatty liver. Weight loss and diabetes surgery can significantly address or improve type 2 diabetes and other obesity comorbidities. Studies have shown that bariatric and diabetic surgery can address or improve diabetes in 86% of patients, improve hyperlipidemia in 70% or more of patients, address or improve hypertension in 78.5% of patients, and address sleep apnea in 85.7% of patients. Complications such as diabetes, hypertension and hyperlipidemia can be reduced with the use of medications, with varying degrees of improvement in overall health, emotional well-being, physical and social functioning, pain relief and personal energy recovery.