Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease

Nonalcoholic fatty liver disease (NAFLD) is prevalent in 20–25% of the general population and is associated with metabolic risk factors such as obesity, diabetes mellitus, and dyslipidemia. Histologically, NAFLD ranges from simple steatosis to nonalcoholic steatohepatitis (NASH), fibrosis, and cirrh...

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Main Authors: Elena Buzzetti, Rosa Lombardi, Laura De Luca, Emmanuel A. Tsochatzis
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2015/343828
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author Elena Buzzetti
Rosa Lombardi
Laura De Luca
Emmanuel A. Tsochatzis
author_facet Elena Buzzetti
Rosa Lombardi
Laura De Luca
Emmanuel A. Tsochatzis
author_sort Elena Buzzetti
collection DOAJ
description Nonalcoholic fatty liver disease (NAFLD) is prevalent in 20–25% of the general population and is associated with metabolic risk factors such as obesity, diabetes mellitus, and dyslipidemia. Histologically, NAFLD ranges from simple steatosis to nonalcoholic steatohepatitis (NASH), fibrosis, and cirrhosis. As NASH develops in only 10–15% of patients with NAFLD, it is not practical to biopsy all patients who present with NAFLD. Noninvasive fibrosis tests have been extensively developed recently and offer alternatives for staging fibrosis. Despite their increasing use, such tests cannot adequately differentiate simple steatosis from NASH. At present, such tests can be used as first line tests to rule out patients without advanced fibrosis and thus prevent unnecessary secondary care referrals in a significant number of patients. In this review we present the evidence for the use of noninvasive fibrosis tests in patients with NAFLD.
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spelling doaj-art-ca38200c86bc46e5b6fb669890d03d7f2025-02-03T01:10:39ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/343828343828Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver DiseaseElena Buzzetti0Rosa Lombardi1Laura De Luca2Emmanuel A. Tsochatzis3UCL Institute for Liver and Digestive Health, Royal Free Hospital and UCL, London NW3 2QG, UKUCL Institute for Liver and Digestive Health, Royal Free Hospital and UCL, London NW3 2QG, UKUCL Institute for Liver and Digestive Health, Royal Free Hospital and UCL, London NW3 2QG, UKUCL Institute for Liver and Digestive Health, Royal Free Hospital and UCL, London NW3 2QG, UKNonalcoholic fatty liver disease (NAFLD) is prevalent in 20–25% of the general population and is associated with metabolic risk factors such as obesity, diabetes mellitus, and dyslipidemia. Histologically, NAFLD ranges from simple steatosis to nonalcoholic steatohepatitis (NASH), fibrosis, and cirrhosis. As NASH develops in only 10–15% of patients with NAFLD, it is not practical to biopsy all patients who present with NAFLD. Noninvasive fibrosis tests have been extensively developed recently and offer alternatives for staging fibrosis. Despite their increasing use, such tests cannot adequately differentiate simple steatosis from NASH. At present, such tests can be used as first line tests to rule out patients without advanced fibrosis and thus prevent unnecessary secondary care referrals in a significant number of patients. In this review we present the evidence for the use of noninvasive fibrosis tests in patients with NAFLD.http://dx.doi.org/10.1155/2015/343828
spellingShingle Elena Buzzetti
Rosa Lombardi
Laura De Luca
Emmanuel A. Tsochatzis
Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease
International Journal of Endocrinology
title Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease
title_full Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease
title_fullStr Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease
title_full_unstemmed Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease
title_short Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease
title_sort noninvasive assessment of fibrosis in patients with nonalcoholic fatty liver disease
url http://dx.doi.org/10.1155/2015/343828
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