Treatment of Nonalcoholic Fatty Liver Disease: The Role of Medical, Surgical, and Endoscopic Weight Loss

被引:38
作者
Popov, Violeta B. [1 ]
Lim, Joseph K. [2 ]
机构
[1] NYU, Sch Med, Div Gastroenterol, New York, NY USA
[2] Yale Univ, Sch Med, Sect Digest Dis, Yale Liver Ctr, 333 Cedar St,LMP 1080, New Haven, CT 06520 USA
关键词
Fatty liver; Nonalcoholic steatohepatitis; Weight loss; Exercise; Pharmacotherapy; Endoscopic therapy; Bariatric surgery;
D O I
10.14218/JCTH.2015.00019
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Nonalcoholic fatty liver disease (NAFLD) represents a rapidly growing cause of chronic liver disease in the United States and is associated with significant morbidity and mortality, including progression to liver cirrhosis and hepatocellular carcinoma. NAFLD comprises a spectrum of liver conditions, ranging from simple steatosis to steatosis with inflammation (steato-hepatitis) and progressive fibrosis. Weight loss represents a first line therapeutic modality for the management of NAFLD. Herein, we review the evidence base for medical, surgical, and endoscopic approaches to weight loss and their potential impact on the natural history of NAFLD. (C) 2015 The Second Affiliated Hospital of Chongqing Medical University. Published by XIA & HE Publishing Ltd. All rights reserved.
引用
收藏
页码:230 / 238
页数:9
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