Fatty Liver

Fatty liver (hepatic steatosis) is triglyceride accumulation in hepatocytes, alcoholic vs nonalcoholic (NAFLD), associated with obesity/diabetes/metabolic syndrome, usually asymptomatic. Treatment: lifestyle modification (weight loss 5-10%, Mediterranean diet, exercise); treat metabolic comorbidities (diabetes/dyslipidemia/hypertension); abstinence from alcohol; monitor for NASH/fibrosis/ cirrhosis; screen for HCC if cirrhosis; bariatric surgery for severe obesity; vitamin E/pioglitazone in selected NASH; follow-up.

Common Symptoms

Asymptomatic; elevated transaminases; by obesity/diabetes/alcohol

Causes and Pathogenesis

Metabolic/alcohol causes hepatic fat accumulation; progresses to NASH/fibrosis.

Treatment

Lifestyle; treat metabolic comorbidities; monitor NASH/fibrosis/HCC

Preventive Measures

Weight control; balanced diet; exercise; limit alcohol.

Department to Visit

It is recommended to visit the Gastroenterology/Hepatology/Endocrinology/Nutrition department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.