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Comparative Study of the Effect of Various Bariatric Surgery Methods
























            Fig. 4: Comparison of mean NSF score in control group during follow-up  Fig. 7: Comparison of the frequency of fatty liver grade in the RY gastric
                                                               bypass group during follow-up

























            Fig. 5: Comparison of the frequency of fatty liver grade in the gastric   Fig. 8: Comparison of the frequency of fatty liver grade in the control
            sleeve group during follow-up                      group during follow-up


                                                               showed a significant difference in the mean BMI of patients in
                                                               different groups before and after surgery (p <0.001). The mean BMI
                                                               of patients in all three groups decreased significantly 12 months
                                                               after surgery compared to before surgery (p <0.001). The percentage
                                                               of decrease in patients’ BMI from before surgery to 12 months after
                                                               surgery was 33.53, 34.95, and 32.77% in the gastric sleeve, mini-
                                                               gastric bypass, and RY gastric bypass groups, respectively. However,
                                                               in the nonsurgical group, the baseline BMI increased by 6.20% until
                                                               12 months later. Therefore, the highest decrease in patients’ BMI
                                                               was observed in the mini-gastric bypass group with 34.95%.
                                                                  According to the Kolmogorov–Smirnov test, AST had a normal
                                                               distribution in all four groups (p >0.05). The results of ANOVA test
                                                               showed a significant difference in the mean AST of patients in
                                                               different groups before and after surgery. The mean AST of patients
                                                               in all three groups had an insignificant decrease 12 months after
                                                               surgery compared to before surgery. The percentage of reduction
                                                               in AST of patients from 12 months after surgery compared to before
            Fig. 6: Comparison of the frequency of fatty liver grade in the mini-gastric   surgery was 8.69, 2.24, and 0.81% in gastric sleeve, mini-gastric
            bypass group during follow-up                      bypass, and RY gastric bypass groups, respectively. However, in the



                                                        World Journal of Laparoscopic Surgery, Volume 15 Issue 2 (May–August 2022)  111
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