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ENFERMEDAD DEL HIGADO GRASO NO ALCOHOLICO Jorge Arturo Bustos Martinez Residente de segundo año medicina interna Universidad del Norte
Definición Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Definición NAFLD termino introducido por primera vez en 1980 por Ludwig Et. Al. clínica Mayo. Tradicionalmente se incluyen dos condiciones distintas:  Hígado graso no alcohólico:   superior al 5 al 10% del peso total. Esteatohepatitis:   esteatosis, inflamación lobular, lesión del hepatocito y/o fibrosis. Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Epidemiologia  Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Epidemiologia  Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Factores Etiológicos y Asociaciones MarcinKrawczyk Et. Al. Nonalcoholic fatty liver disease. Best Practice & Research Clinical Gastroenterology 24 (2010) 695–708
Factores Etiológicos y Asociaciones Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Factores Etiológicos y Asociaciones Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Factores Etiológicos y Asociaciones Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Factores Etiológicos y Asociaciones John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
Fisiopatología  Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Fisiopatología Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
Fisiopatología  John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
Fisiopatología  Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Fisiopatología John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
Fisiopatología John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
Fisiopatología Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Diagnostico Mayoría clínicamente asintomáticos: Dolor en cuadrante superior derecho Nauseas  Otros síntomas inespecíficos. NASH  a Cirrosis:  Telangiectasias Eritema palmar Caputmedusae Etc.  Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
Diagnostico SteatoTest: propuesto por Poynard Et. Al. VPP: 63% VPN: 93% ALT, alfa 2 macroglobulina, Apolipoproteina, Haptoglobina, BT, GGT, Colesterol, Trigliceridos, Glucosa, Edad, Sexo e IMC. FibroTest: Alfa 2 macroglobulina, Apolipoproteina, BT, GGT y ALT.   VPP: 73% VPN: 90% Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
Diagnostico Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
Diagnostico  MarcinKrawczyk Et. Al. Nonalcoholic fatty liver disease. Best Practice & Research Clinical Gastroenterology 24 (2010) 695–708
Diagnostico MarcinKrawczyk Et. Al. Nonalcoholic fatty liver disease. Best Practice & Research Clinical Gastroenterology 24 (2010) 695–708
Diagnostico John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
Tratamiento Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
Tratamiento John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
Gracias

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Enfermedad del higado graso no alcoholico

  • 1. ENFERMEDAD DEL HIGADO GRASO NO ALCOHOLICO Jorge Arturo Bustos Martinez Residente de segundo año medicina interna Universidad del Norte
  • 2. Definición Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 3. Definición NAFLD termino introducido por primera vez en 1980 por Ludwig Et. Al. clínica Mayo. Tradicionalmente se incluyen dos condiciones distintas: Hígado graso no alcohólico: superior al 5 al 10% del peso total. Esteatohepatitis: esteatosis, inflamación lobular, lesión del hepatocito y/o fibrosis. Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 4. Epidemiologia Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 5. Epidemiologia Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 6. Factores Etiológicos y Asociaciones MarcinKrawczyk Et. Al. Nonalcoholic fatty liver disease. Best Practice & Research Clinical Gastroenterology 24 (2010) 695–708
  • 7. Factores Etiológicos y Asociaciones Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 8. Factores Etiológicos y Asociaciones Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 9. Factores Etiológicos y Asociaciones Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 10. Factores Etiológicos y Asociaciones John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
  • 11. Fisiopatología Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 12. Fisiopatología Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
  • 13. Fisiopatología John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
  • 14. Fisiopatología Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 15. Fisiopatología John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
  • 16. Fisiopatología John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
  • 17. Fisiopatología Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 18. Diagnostico Mayoría clínicamente asintomáticos: Dolor en cuadrante superior derecho Nauseas Otros síntomas inespecíficos. NASH a Cirrosis: Telangiectasias Eritema palmar Caputmedusae Etc. Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
  • 19. Diagnostico SteatoTest: propuesto por Poynard Et. Al. VPP: 63% VPN: 93% ALT, alfa 2 macroglobulina, Apolipoproteina, Haptoglobina, BT, GGT, Colesterol, Trigliceridos, Glucosa, Edad, Sexo e IMC. FibroTest: Alfa 2 macroglobulina, Apolipoproteina, BT, GGT y ALT. VPP: 73% VPN: 90% Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
  • 20. Diagnostico Jeffrey R. Lewis • Smruti R. Mohanty. Nonalcoholic Fatty Liver Disease: A Review and Update; Dig DisSci (2010) 55:560–578
  • 21. Diagnostico MarcinKrawczyk Et. Al. Nonalcoholic fatty liver disease. Best Practice & Research Clinical Gastroenterology 24 (2010) 695–708
  • 22. Diagnostico MarcinKrawczyk Et. Al. Nonalcoholic fatty liver disease. Best Practice & Research Clinical Gastroenterology 24 (2010) 695–708
  • 23. Diagnostico John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104
  • 24. Tratamiento Vassilios A Sevastianos and Stephanos J Hadziyannis.Nonalcoholic fatty liver disease: from clinical recognition to treatment; Expert Rev. Gastroenterol. Hepatol. 2(1), 59–79 (2008)
  • 25. Tratamiento John Edmison, MD, Arthur J. McCullough, MD. Pathogenesis of Non-alcoholic Steatohepatitis: Human Data; Clin Liver Dis 11 (2007) 75–104