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. 2006 May;82(967):315–322. doi: 10.1136/pgmj.2005.042200

Table 2 Effect of weight loss in non‐alcoholic fatty liver disease in adults.

Author Intervention Number Study Type Comparison Duration (months) ALT Histology
Steatosis Inflammation Fibrosis
Ueno32 Diet/exercise 25 Open label, non‐randomised No treatment 3 Improved Improved No change No change
Huang29 Diet/exercise 23 Pilot trial Baseline 12 No change No change No change No change
Andersen28 Diet 41 Case series Baseline 6 Improved Improved No change* No change
Okita30 Diet 14 Pilot trial Baseline 6 Improved NA NA NA
Palmer31 Diet 39 Case series Baseline Improved NA NA NA
Harrison38 Orlistat 10 Pilot trial Baseline 6 Improved No change No change No change
HatzitoliosA35 Orlistat 21 Pilot trial Baseline 6 Improved NA NA NA
Sabuncu40 Orlistat 12 Pilot trial Baseline 6 Improved Improved† NA NA
Sibutramine 13 Pilot trial Baseline 6 Improved Improved† NA NA
Dixon41 Gastric banding 36 Pilot trial Baseline 26 Improved Improved Improved Improved
Silverman44 Gastro‐jejenostomy 91 Case series Baseline 18 No change Improved No change Improved
Luyckx43 Gastric banding 69 Case series Baseline 27 Improved Improved Worse No change
Kral42 Biliopancreatic diversion 104 Case series Baseline 74 Improved Improved No change Worse‡
Clark JM92 Reux‐en Y gastric bypass 16 Case series Baseline 10 No change Improved Improved Improved

NA, not assessed. *No change in lobular inflammation, but significant worsening of portal inflammation; †as assessed by ultrasound; ‡significance level p = 0.053.