Indian National Association for Study of the Liver (INASL) Guidance Paper on Nomenclature, Diagnosis and Treatment of Nonalcoholic Fatty Liver Disease (NAFLD).

Autor: Duseja A; Departmentof Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India., Singh SP; Department of Gastroenterology, SCB Medical College, Cuttack, India., De A; Departmentof Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India., Madan K; Max Centre for Gastroenterology, Hepatology and Endoscopy, Max Hospitals, Saket, New Delhi, India., Rao PN; Department of Hepatology, Asian Institute of Gastroenterology, Hyderabad, India., Shukla A; Department of Gastroenterology, Seth GSMC & KEM Hospital, Mumbai, India., Choudhuri G; Department of Gastroenterology and Hepato-Biliary Sciences, Fortis Memorial Research Institute, Gurugram, India., Saigal S; Max Centre for Gastroenterology, Hepatology and Endoscopy, Max Hospitals, Saket, New Delhi, India., Shalimar; Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India., Arora A; Institute of Liver, Gastroenterology and Pancreatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India., Anand AC; Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India., Das A; Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India., Kumar A; Institute of Liver, Gastroenterology and Pancreatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India., Eapen CE; Department of Hepatology, Christian Medical College, Vellore, India., Devadas K; Department of Gastroenterology, Government Medical College, Trivandrum, India., Shenoy KT; Department of Gastroenterology, SreeGokulam Medical College, Trivandrum, India., Panigrahi M; Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, India., Wadhawan M; Institute of Liver & Digestive Diseases, BLK Super Speciality Hospital, Delhi, India., Rathi M; Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India., Kumar M; Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India., Choudhary NS; Department of Hepatology, Medanta, The Medicity, Gurugram, India., Saraf N; Department of Hepatology, Medanta, The Medicity, Gurugram, India., Nath P; Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India., Kar S; Department of Gastroenterology and Hepatology, Gastro Liver Care, Cuttack, India., Alam S; Department of PediatricHepatology, Institute of Liver and Biliary Sciences, New Delhi, India., Shah S; Department of Hepatology, Institute of Liver Disease, HPB Surgery and Transplant, Global Hospitals, Mumbai, India., Nijhawan S; Department of Gastroenterology, Sawai Man Singh Medical College, Jaipur, India., Acharya SK; Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India., Aggarwal V; Department of Cardiology, Fortis Memorial Research Institute, Gurugram, India., Saraswat VA; Department of Hepatology, Pancreatobiliary Sciences and Liver Transplantation, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, India., Chawla YK; Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India.
Jazyk: angličtina
Zdroj: Journal of clinical and experimental hepatology [J Clin Exp Hepatol] 2023 Mar-Apr; Vol. 13 (2), pp. 273-302. Date of Electronic Publication: 2022 Dec 07.
DOI: 10.1016/j.jceh.2022.11.014
Abstrakt: Nonalcoholic fatty liver disease (NAFLD) is a major cause of chronic liver disease globally and in India. The already high burden of NAFLD in India is expected to further increase in the future in parallel with the ongoing epidemics of obesity and type 2 diabetes mellitus. Given the high prevalence of NAFLD in the community, it is crucial to identify those at risk of progressive liver disease to streamline referral and guide proper management. Existing guidelines on NAFLD by various international societies fail to capture the entire landscape of NAFLD in India and are often difficult to incorporate in clinical practice due to fundamental differences in sociocultural aspects and health infrastructure available in India. A lot of progress has been made in the field of NAFLD in the 7 years since the initial position paper by the Indian National Association for the Study of Liver on NAFLD in 2015. Further, the ongoing debate on the nomenclature of NAFLD is creating undue confusion among clinical practitioners. The ensuing comprehensive review provides consensus-based, guidance statements on the nomenclature, diagnosis, and treatment of NAFLD that are practically implementable in the Indian setting.
(© 2022 Indian National Association for Study of the Liver. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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