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Guidelines for the diagnosis and treatment of nonalcoholic fatty liver disease in children and adults in China and foreign countries:comparison and analysis
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摘要: 对比了2017年版美国肝病学会《非酒精性脂肪性肝病诊断与管理指南》,2016年欧洲肝病学会、欧洲糖尿病学会和欧洲肥胖学会联合发布的《非酒精性脂肪性肝病临床实践指南》,2010年版中华医学会肝病学分会《非酒精性脂肪性肝病诊疗指南》以及北美儿童胃肠病、肝脏和营养学会联合发布的《儿童脂肪性肝病的诊断治疗》的推荐意见要点,对基本概念和分型、危险因素和筛查、诊断和评估、治疗、监测和随访五个方面进行对比,以供读者在临床实践中参考。Abstract: This article makes a comparative analysis of the key recommendations in Guidelines for the diagnosis and management of nonalcoholic fatty liver disease published by American Association for the Study of Liver Diseases in 2017, Clinical practice guidelines for nonalcoholic fatty liver disease jointly published by European Association for the Study of the Liver, European Association for the Study of Diabetes, and European Association for the Study of Obesity in 2016, Guidelines for the diagnosis and treatment of nonalcoholic fatty liver disease published by Chinese Society of Hepatology, Chinese Medical Association in 2010, and Diagnosis and treatment of fatty liver disease in children published by North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition, from the following five aspects: basic concepts and typing, risk factors and screening, diagnosis and evaluation, treatment, and monitoring and follow-up, in order to provide a reference for clinical practice.
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Key words:
- nonalcoholic fatty liver disease /
- child /
- adult /
- practice guideline /
- editorial
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[1]Group of Fatty Liver and Alcoholic Liver Diseases, Society of Hepatology, Chinese Medical Association.Guidelines for management of non-alcoholic fatty liver disease[J].J Clin Hepatol, 2010, 26 (2) :120-124. (in Chinese) 中华医学会肝脏病学分会脂肪肝和酒精性肝病学组.非酒精性脂肪性肝病诊疗指南[J].临床肝胆病杂志, 2010, 26 (2) :120-124. [2]BYRNE CD, TARGHER G.EASL-EASD-EASO clinical practice guidelines for the management of non-alcoholic fatty liver disease:is universal screening appropriate?[J].J Hepatol, 2016, 64 (6) :1388-1402. [3]CHALASANI N, YOUNOSSI Z, LAVINE JE, et al.The diagnosis and management of nonalcoholic fatty liver disease:Practice guidance from the American Association for the Study of Liver Diseases[J].Hepatology, 2017.[Epub ahead of print] [4]VOS MB, ABRAMS SH, BARLOW SE, et al.NASPGHAN clinical practice guideline for the diagnosis and treatment of nonalcoholic fatty liver disease in children:recommendations from the Expert Committee on NAFLD (ECON) and the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) [J].J Pediatr Gastroenterol Nutr, 2017, 64 (2) :319-334. -
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