Case Presentation: Endobariatric Procedure Halts Progressive Fatty Liver Disease

Johns Hopkins bariatric endoscopist Geri Keane discusses the case of a patient who presented with advanced liver disease, stage 3 fibrosis and hepatic steatosis. Keane performed an endoscopic sleeve gastroplasty (ESG) to help the patient achieve and maintain weight loss and improve liver function. At six weeks post-procedure, the patient had lost nearly 10% of her total body weight and her liver function tests were normal for the first time in 15 years. A multidisciplinary obesity team will now follow the patient closely for the first year following ESG, with a goal of achieving 20% total body weight loss and sustained improvement in her liver disease.