Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 03 May 2016

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Simple noninvasive scoring systems for fibrosis in NAFLD

This month's issue of the European Journal of Gastroenterology & Hepatology investigates simple noninvasive scoring systems for fibrosis reliable in patients with NAFLD and normal ALT levels.

News image

Nonalcoholic fatty liver disease is common and many affected individuals have normal-range alanine aminotransferase levels.

Dr Stuart Mc Pherson and colleagues reported that there is a need for a robust screening tool to triage individuals with advanced fibrosis for specialist care.

The research team assessed the performance of noninvasive fibrosis tests in patients with biopsy-proven nonalcoholic fatty liver disease, and normal levels of alanine aminotransferase.

The research team assessed that patients presenting at a fatty liver clinic between 1999 and 2009 were included in the study.

Liver biopsies were assessed using the Kleiner score.

The team of doctors noted that the aspartate aminotransferase alanine aminotransferase/alanine aminotransferase ratio, BARD, FIB-4 and Nonalcoholic fatty liver disease fibrosis scores were calculated.

A total of 305 patients were included.

61% with normal alanine aminotransferase levels could avoid liver biopsy
European Journal of Gastroenterology & Hepatology

The researchers examined that in total, 24% of patients with normal alanine aminotransferase levels, and 17% of those with elevated alanine aminotransferase levels had advanced fibrosis.

The FIB-4 performed best in identifying advanced fibrosis in patients with normal alanine aminotransferase.

The doctors noted that the sensitivity of the AST/alanine aminotransferase ratio and BARD and nonalcoholic fatty liver disease fibrosis scores for advanced fibrosis was good in patients with normal ALT levels, but the specificity was low.

The FIB-4 yielded best results in patients with elevated alanine aminotransferase levels.

Using the FIB-4, 61% of patients with normal alanine aminotransferase levels, and 63% of those with elevated alanine aminotransferase levels could avoid liver biopsy to exclude advanced fibrosis.

In contrast, AST/alanine aminotransferase ratio and BARD and nonalcoholic fatty liver disease scores would have led to a high proportion of patients with mild disease having to undergo a biopsy.

Dr McPherson's team commented, "The FIB-4 yielded good results in patients with normal or elevated alanine aminotransferase levels, reliably excluding advanced fibrosis and reducing the need for liver biopsy."

Eur Journal of Gastroenterol & Hepatol 2013: 25(6): 652-658
12 June 2013

Go to top of page Email this page Email this page to a colleague

 03 May 2016 
PPIs and gut microbiota
 03 May 2016 
Vedolizumab for IBD
 03 May 2016 
Surgery vs medical therapy for GERD
 02 May 2016 
Mycophenolate mofetil as first-line treatment of autoimmune hepatitis
 02 May 2016 
Genetic variant that increase NAFLD risk
 02 May 2016 
Resection of colorectal polyps
 29 April 2016 
HCV infection in Baby Boomers with Medicare
 29 April 2016 
Simvastatins and survival in cirrhosis
 29 April 2016 
Crohn's disease associated genes
 28 April 2016 
Diarrheal diseases in children
 28 April 2016 
Birth outcomes in women with IBD receiving assisted reproduction
 28 April 2016 
Racial disparities in survival from colon cancer
 27 April 2016 
Celiac disease in adults
 27 April 2016 
Ultra-short celiac disease
 27 April 2016 
Dust mite and human GI tract
 26 April 2016 
Guidelines for nutrition therapy in hospitalized patients
 26 April 2016 
Polyp detection during colonoscopy
 26 April 2016 
IBS and microscopic colitis
 25 April 2016 
Estrogen deficiency and fibrosis risk in women with NAFLD
 25 April 2016 
Acceptance of Liver transplant center organ offers
 25 April 2016 
Abrupt interruption of beta-blockers in cirrhosis 
 22 April 2016 
Novel method to regenerate the esophagus
 22 April 2016 
Relapse after antiviral treatment in Hep B
 22 April 2016 
Microscopic colitis with NSAIDs and PPIs
 11 April 2016 
Infliximab vs adalimumab in ulcerative colitis
 11 April 2016 
H. pylori in treatment-naïve children
 11 April 2016 
Admissions times and outcomes for ERCP cholangitis
 08 April 2016 
Endoscopic treatment of Crohn's strictures
 08 April 2016 
Nutrition therapy in the hospitalized patient
 08 April 2016 
H.pylori effects on pediatric gastric mucosa
 07 April 2016 
CVD changes after TIPSS
 07 April 2016 
Transanal mesorectal resection for rectal cancer
 07 April 2016 
HBV during immunosuppressive therapies
 06 April 2016 
Adherence to colorectal cancer screening strategies
 06 April 2016 
Duodenal bulb biopsies in childhood celiac disease diagnosis
 06 April 2016 
Lymph node metastasis in early gastric cancer
 05 April 2016 
IBS in the US military
 05 April 2016 
Changes in blood flow in cirrhosis
 05 April 2016 
Colorectal cancer risk with serrated polyps
 04 April 2016 
Noninvasive diagnosis of celiac disease
 04 April 2016 
Metallic vs plastic stents for benign biliary strictures
 04 April 2016 
Adherence to quality indicators improves clinical outcomes in ascites
 01 April 2016 
Prognosis after colorectal cancer resection with peritoneal metastasis
 01 April 2016 
Colorectal cancer risk with non-malignant colonoscopy findings
 01 April 2016 
Intensive enteral nutrition and severe alcoholic hepatitis
 31 March 2016 
Anesthesia services during colonoscopy
 31 March 2016 
Management of Barrett’s esophagus
 31 March 2016 
Alcohol and glucose tolerance in NAFLD
 30 March 2016 
Depression and symptoms in IBS
 30 March 2016 
Electronic learning system for colon capsule endoscopy
 30 March 2016 
Gastric cancer screening
 29 March 2016 
Statins and survival in esophageal cancer
 29 March 2016 
Infant feeding practices and celiac disease
 25 March 2016 
Medical therapy and neoplasia regression in familial adenomatous polyposis
 25 March 2016 
Medical therapy compliance and ulcerative colitis recurrence
 25 March 2016 
Predicting outcomes of drug-induced acute liver failure
 24 March 2016 
Thrombocytopenia and multi-organ system failure in acute liver failure
 24 March 2016 
Patients with ulcerative colitis and their concerns
 24 March 2016 
Prediction of relapses in IBD
 23 March 2016 
Thiopurine therapy in IBD

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2016 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us