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代谢功能障碍相关脂肪性肝病的流行病学和诊断。

Epidemiology and diagnosis of metabolic dysfunction-associated fatty liver disease.

机构信息

Department of Gastroenterology, Hepatology and Endemic Medicine, Faculty of Medicine, Minia University, Minia, Egypt.

Department of Internal Medicine, Al-Azhar University, Cairo, Egypt.

出版信息

Hepatol Int. 2024 Oct;18(Suppl 2):827-833. doi: 10.1007/s12072-024-10704-3. Epub 2024 Jul 5.

Abstract

The most common chronic liver illness worldwide is metabolic dysfunction linked to fatty liver disease (MAFLD), which is poorly understood by doctors and patients. Many people with this disease develop steatohepatitis, cirrhosis and its consequences, as well as extrahepatic manifestations; these conditions are particularly common if they are linked to diabetes mellitus or obesity. A breakthrough with numerous benefits is the switch from NAFLD to MAFLD in terms of terminology and methodology. The diagnosis of MAFLD is based on affirmative criteria; unlike NAFLD, it is no longer based on exclusion. The diagnosis of MAFLD and the evaluation of steatosis and fibrosis is achieved using liver biopsy and non-invasive laboratory or radiographic techniques. We briefly address the most recent developments in MAFLD epidemiology and diagnosis.

摘要

全球最常见的慢性肝病是与脂肪性肝病(MAFLD)相关的代谢功能障碍,医生和患者对此知之甚少。许多患有这种疾病的人会发展为脂肪性肝炎、肝硬化及其后果,以及肝外表现;如果与糖尿病或肥胖症有关,这些情况更为常见。术语和方法上从非酒精性脂肪性肝病(NAFLD)转变为代谢相关性脂肪性肝病(MAFLD)是一个突破,具有诸多益处。MAFLD 的诊断基于肯定标准;与 NAFLD 不同,它不再基于排除。MAFLD 的诊断以及脂肪变性和纤维化的评估是通过肝活检和非侵入性实验室或放射影像学技术来实现的。我们简要介绍 MAFLD 流行病学和诊断的最新进展。

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