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Zhonghua ganzangbing zazhi ; Zhonghua ganzangbing zazhi;(12): 748-753, 2019.
Artículo en Chino | WPRIM | ID: wpr-773062

RESUMEN

Nonalcoholic fatty liver disease (NAFLD) is the most common liver disease in China. To provide evidence-based and updated practical recommendations for clinician, this expert recommendations have updated the diagnosis and treatment of NAFLD in five aspects as follows: (1) the framework of NAFLD treatment centre or clinic; (2) screening and evaluation: who should be screened, initial evaluation items, non-invasive assessment of steatohepatitis and advanced fibrosis, when to obtain a liver biopsy in patients with NAFLD, and other metabolic disorders and cardiovascular risk assessment; (3) managements of patient with NAFLD: lifestyle intervention (dietary, exercise and weight loss), drug treating metabolic co-morbidities such as hyperlipidemia, type 2 diabetes mellitus and hypertension, and steatohepatitis and fibrosis; (4) management of special populations with NAFLD: children, pregnant or lactating women, patients co-existence with alcoholic liver disease, chronic HBV and/or HCV infection, and autoimmune disorders; (5) monitoring and follow-up. This consensus aims to modify the optimizing management process and guide physicians make correct and reasonable decisions in the diagnosis and treatment for patients with NAFLD.


Asunto(s)
Niño , Femenino , Humanos , Biopsia , China , Comorbilidad , Diabetes Mellitus Tipo 2 , Hiperlipidemias , Hipertensión , Lactancia , Estilo de Vida , Enfermedad del Hígado Graso no Alcohólico/terapia , Guías de Práctica Clínica como Asunto
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