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Fatty liver screening

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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Overview

Overview

Screening

Screening

Per the American Gastroenterological Association (AGA) in 2021[1], screening should be:

  • Diabetes mellitus Type 2
  • 2 or more metabolic risk factors (entral obesity, high triglycerides, low HDL cholesterol, hypertension, prediabetes, or insulin resistance)
  • Excessive alcohol intake
  • Steatosis on any imaging modality or elevated aminotransferases

Per the American Association for the Study of Liver Diseases (AASLD) in 2023[2]:

  • “All patients with hepatic steatosis or clinically suspected NAFLD based on the presence of obesity and metabolic risk factors should undergo primary risk assessment with FIB-4.”
References

References

  1. Kanwal F, Shubrook JH, Adams LA, Pfotenhauer K, Wai-Sun Wong V, Wright E; et al. (2021). “Clinical Care Pathway for the Risk Stratification and Management of Patients With Nonalcoholic Fatty Liver Disease”. Gastroenterology. 161 (5): 1657–1669. doi:10.1053/j.gastro.2021.07.049. PMC 8819923 Check |pmc= value (help). PMID 34602251 Check |pmid= value (help).
  2. Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, Abdelmalek MF, Caldwell S, Barb D; et al. (2023). “AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease”. Hepatology. doi:10.1097/HEP.0000000000000323. PMID 36727674 Check |pmid= value (help).

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