Factors associated with the Severity of Findings on Hepatic Transient Elastography among Persons with Type 2 Diabetes and Fatty Liver.

Autor: Fernando JN; Section of Endocrinology, Diabetes and Metabolism, Chinese General Hospital and Medical Center, Philippines., Alba RL; Section of Endocrinology, Diabetes and Metabolism, Chinese General Hospital and Medical Center, Philippines., Alba W; Section of Gastroenterology, Chinese General Hospital and Medical Center, Philippines.
Jazyk: angličtina
Zdroj: Journal of the ASEAN Federation of Endocrine Societies [J ASEAN Fed Endocr Soc] 2019; Vol. 34 (2), pp. 134-143. Date of Electronic Publication: 2019 Nov 10.
DOI: 10.15605/jafes.034.02.03
Abstrakt: Objective: This study aims to determine the relationship between the different factors associated with the severity of Fibroscan with CAP findings among patients with Type 2 diabetes and fatty liver.
Methodology: This is a cross-sectional study. Seven hundred four Fibroscan with Controlled Attenuation Parameter (CAP) results were electronically retrieved from a diagnostic center. 285 charts of diabetic patients with fatty liver on ultrasound were reviewed. 164 patients with fatty liver on ultrasound and Fibroscan with CAP were included in the study. Several factors were analysed in relation to the severity of Fibroscan with CAP findings in the study group.
Results: Fifty five point five percent (55.5%) (91/164) had significant fibrosis and cirrhosis. Hepatic steatosis prevalence was 96% (158/164). Diabetes >5 years (OR 1.75), HbA1c >7% (OR 2.25) and high SGPT levels (OR 2.39) were associated with liver fibrosis and cirrhosis. BMI >25 kg/m2 (OR 1.45), triglyceride levels >150 mg/dl (OR 1.31) and HbA1c >7% (OR 1.74) were associated with hepatic steatosis.
Conclusion: Factors associated with the severity of hepatic fibrosis, cirrhosis and steatosis included above normal BMI, disease duration of >5 years, poor glycemic control and elevated levels of ALT, and serum triglycerides.
Competing Interests: The authors declare no conflict of interest.
(© 2019 Journal of the ASEAN Federation of Endocrine Societies.)
Databáze: MEDLINE