医学
非酒精性脂肪肝
非酒精性脂肪性肝炎
肝活检
代谢综合征
人口
减肥
血脂异常
内科学
脂肪性肝炎
2型糖尿病
脂肪肝
胃肠病学
糖尿病
肝病
肥胖
肝硬化
疾病
活检
内分泌学
环境卫生
作者
Adam Sheka,Oyedele Adeyi,Julie Thompson,Bilal Hameed,Peter A. Crawford,Sayeed Ikramuddin
出处
期刊:JAMA
[American Medical Association]
日期:2020-03-24
卷期号:323 (12): 1175-1175
被引量:1274
标识
DOI:10.1001/jama.2020.2298
摘要
Nonalcoholic steatohepatitis affects 3% to 6% of the US population, is more prevalent in patients with metabolic disease and obesity, progresses to cirrhosis in approximately 20% of cases, and is associated with increased rates of liver-specific and overall mortality. Early identification and targeted treatment of patients with nonalcoholic steatohepatitis are needed to improve patient outcomes, including directing patients toward intensive lifestyle modification to promote weight loss and referral for bariatric surgery as indicated for management of obesity and metabolic disease.
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