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J Clin Outcomes Manage
2005 Nov;12(11):585-595
The spectrum of nonalcoholic fatty liver disease
Ghali P, Talwalkar JA
Program Audience Primary care physicians. Educational Needs Addressed Nonalcoholic fatty liver disease (NAFLD) is the most common clinical problem encountered by hepatologists and is the most prevalent liver disease in the West today. There is a spectrum of disease ranging from simple steatosis to advanced cirrhotic-stage liver disease. The initial presentation is often asymptomatic or serendipitous. Because NAFLD is so common and will likely increase in prevalence in the near future, it is imperative that practitioners be aware of this condition, how to diagnose it, which treatment options are available, its potential to progress to cirrhosis, when to refer individuals for liver transplantation, and how to follow affected patients. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. Understand the diagnostic requirements and limitations for NAFLD including the need for liver biopsy 2. Systematically review potential treatment options 3. Address the follow-up and referral guidelines for advanced cirrhotic-stage NAFLD 4. Address the screening and management of complications of cirrhotic-stage NAFLD
Review, CME
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