Non-Alcoholic Fatty Liver Disease | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 9, Volume 70, Issue 4, January 2018, Page 570-576 PDF (360.85 K) | ||||
Document Type: Original Article | ||||
DOI: 10.12816/0043808 | ||||
View on SCiNiTO | ||||
Authors | ||||
Roula Hadyan Mohammed AlHadyan1; Albader Abdulhameed Y Khojah2; Abdulaziz Ghareeb AbdullahAlanazi3; Ahmed Nasser A Alharbi4; Saeed Aqeel S Al-Zubaidi5; Ziad Khodr Traboulsi6; IbrahimAli I. Alasseri7; Ahmad Yeanallah Algarni6; Hassan Ali A Al-Mubarak8; Ahmed Abdullah Y Alzahrani9; Bashaier Abdalrazaq Al Saeed10; Hamoud Jadan M Alruwaili11 | ||||
1Al-Maarefa Collages | ||||
2King Fahd General Hospital Jeddah | ||||
3Najran University | ||||
4Qassim University | ||||
5Batterjee Medical College | ||||
6King Abdulaziz University | ||||
7Majardah General Hospital, MROD | ||||
8Imam Abdulrahman Bin Faisal University | ||||
9University of Jeddah | ||||
10Ibn Sina National College | ||||
11Aljouf University | ||||
Abstract | ||||
Background: Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease that exposes patients to a great risk of emerging cardiovascular diseases and could develop to cirrhosis or hepatocellular carcinoma if left unmanaged. Objective of the Study: this article is intended to provide an overview and explore the optimal intervention for management of NAFLD in the short and long term. Methods: Electronic search in the scientific database from 1966 to 2017– (Medline, Embase, the Cochrane Library as well as NHS center websites were searched for English Publications were obtained from both reprint requests and by searching the database. Data extracted included authors, country, year of publication, age and sex of patients, epidemiology, geographical distribution, pathophysiology, risk factors, clinical manifestations, investigations and types of surgical treatment. Conclusion: It was concluded from the extensive review of the literature that Lifestyle modification including diet, physical activity and controlling metabolic disorders are the cornerstone in current management of NAFLD. Nevertheless, Insulin-sensitizing agents and antioxidants, particularly thiazolidinediones and vitamin E, seem to be a very promising pharmacologic treatment for non-alcoholic steatohepatitis, yet further long-term multicenter studies need to be conducted for confirmation and assessment. | ||||
Keywords | ||||
Cirrhosis, steatosis; Steatohepatitis; metabolic syndrome, NAFLD, NASH | ||||
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