Non-Alcoholic Fatty Liver Disease - ECAB Clinical Update: Gastroenterology/Hepatology

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ECAB Clinical Update:Gastroenterology/Hepatology
Non-Alcoholic Fatty Liver Disease
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ECAB Clinical Update InformationNON-ALCOHOLIC FATTY LIVER DISEASE
Clinical Profile of NAFLD in Indians
	ABSTRACT
	KEYWORDS
	Prevalence
	Sex and Age
	Body Mass Index
	Waist Circumference and Waist:Hip Ratio
	Presentation
	Diabetes
	Metabolic Syndrome
	Insulin Resistance
	HFE Gene Mutation
	Natural History
	Is It Different From The West?
Non-invasive Markers for Liver Fibrosis in NAFLD
	ABSTRACT
	KEYWORDS
	Liver Biopsy-The Gold Standard?
		Imaging Techniques
		Biochemical Markers
			NashTestTM
			FibroTestTM
			SteatoTestTM
	New Direct Markers for Nash
		Cytokeratin 18 (CK-18) and Dehydroepiandrosterone
Imaging for Fat, Fibrosis, and Inflammation in Non-Alcoholic Fatty Liver Disease: Recent Developments
	ABSTRACT
	KEYWORDS
	Introduction
	Imaging Modalities for Nafld
		Ultrasound
		Ultrasound Doppler
		Contrast Ultrasound
		CT Scan
			Value of CT in Differentiating Fat and NASH
		Magnetic Resonance Imaging
		Chemical-Shift Magnetic Resonance Imaging
		MR Spectroscopy
		SPIO-Enhanced MRI
		Fibroscan
		MR Elastography
	Conclusions
	Algorithm for Indian Patients with Nafld
	Case Study Imaging for Fat, Fibrosis, and Inflammation in Non-Alcoholic Fatty Liver Disease: Recent Developments
	Case
	Inference
Simplified Histology of Non-Alcoholic Fatty Liver Disease
	ABSTRACT
	KEYWORDS
	Pathophysiology of Nash
		Histopathology of NASH
	Steatosis
	Steatohepatitis and Nash
	Hepatocellular Injury
	Fibrosis
Approach to NAFLD in India
	ABSTRACT
	KEYWORDS
	Introduction
	Natural History of Nafld
	Nafld in India
	Guidelines for Management of Nafld in India
		Definition of NAFLD
			Defining Fatty Liver
			Defining NASH
			Defining NAFLD Associated Cirrhosis
		Who Should be Screened for NAFLD in India?
		What Should be Minimal Assessment for Patients with NAFLD?
			Minimal Assessment of NAFLD
			Optional Tests
		Management of NAFLD
		Dos and Don\'ts for Patients with NAFLD
			What Advice Should be Given to Patients with NALFD About Alcohol Consumption?
			What is Risk of Statins in Patients with NAFLD?
	Case Studies Approach to NAFLD in India
	CASE STUDY 1
		History
		Examination
		Conclusion
	CASE STUDY 2
		History
		Examination
		Conclusion
Management of Non-Alcoholic Fatty Liver Disease and New Therapeutic Approaches
	ABSTRACT
	KEYWORDS
	Diagnosis
		Role of Imaging
		Liver Biopsy
	Treatment of NAFLD
		Treatment of Associated Conditions
		Lifestyle Changes
		Diet
	Pharmacotherapy of NAFLD
		Anti-obesity Medication
		Insulin Sensitizers
			Biguanides
			Thiazolidinediones
		Lipid-lowering Drugs
		Antioxidants
		Hepatoprotectives: Ursodeoxycholic Acid
		Other Hepatoprotective Agents Used for NAFLD (Table 4)
		Role of Bariatric Surgery on NAFLD
	Summary
Metabolic Syndrome in Non-Alcoholic Fatty Liver Disease
	ABSTRACT
	KEYWORDS
	Etiopathogenesis
	Epidemiology
	Controversies Regarding the Metabolic Syndrome
	NAFLD and Metabolic Syndrome
	Conclusion
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