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代谢相关脂肪性肝病:新命名对美国肝病研究学会非酒精性脂肪性肝病实践指南的影响及更新。

Metabolic dysfunction-associated steatotic liver disease: Update and impact of new nomenclature on the American Association for the Study of Liver Diseases practice guidance on nonalcoholic fatty liver disease.

机构信息

Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.

Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.

出版信息

Hepatology. 2024 May 1;79(5):1212-1219. doi: 10.1097/HEP.0000000000000670. Epub 2023 Nov 9.

Abstract

This commentary discusses how clinicians and various stakeholders can utilize the recently published American Association for the Study of Liver Diseases nonalcoholic fatty liver disease (AASLD NAFLD) Practice Guidance in light of the change in the nomenclature to steatotic liver disease and its subcategories. The new terminologies explained in this commentary make it easier for the readers to interchangeably use metabolic dysfunction-associated steatotic liver disease (MASLD) in place of NAFLD and metabolic-dysfunction associated steatohepatitis (MASH) instead of nonalcoholic steatohepatitis (NASH), respectively, as they read the NAFLD Practice Guidance. The guidance document is relevant and can be utilized for the diagnosis, risk stratification, and management of patients with MASLD. This commentary serves as an accompanying article to the NAFLD Practice Guidance and helps it clinical application in the light of the new nomenclature.

摘要

本述评讨论了临床医生和各利益相关者如何根据命名法的改变,即从非酒精性脂肪性肝病(NAFLD)更改为脂肪性肝病及其亚类,利用最近发表的美国肝病研究学会(AASLD)非酒精性脂肪性肝病(NAFLD)实践指南。本述评中解释的新术语使读者在阅读 NAFLD 实践指南时,更容易交替使用代谢功能障碍相关脂肪性肝病(MASLD)替代 NAFLD 和代谢功能障碍相关脂肪性肝炎(MASH)替代非酒精性脂肪性肝炎(NASH)。该指南文件具有相关性,可用于诊断、风险分层和 MASLD 患者的管理。本述评是对 NAFLD 实践指南的补充,根据新的命名法有助于其临床应用。

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