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How to diagnose NAFLD in 2016

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How to diagnose NAFLD in 2016

E. Bugianesi1, C. Rosso1, H. Cortez-Pinto2

1Division of Gastroenterology, Department of Medical Sciences, A.O.U. Città della Salute e della Scienza di Torino, University of Torino, Italy

2 Department of Gastroenterology, Hospital de Santa Maria, CHLN, Laboratory of

Nutrition, Faculty of Medicine of Lisbon, University of Lisbon, Portugal Address for correspondence:

Department of Medical Sciences University of Torino

A.O.U. Città della Salute e della Scienza Corso Dogliotti 14

10126 Torino, Italy References

1. EASL-EASD-EASO Clinical Practice Guidelines for the management of non-alcoholic fatty liver disease. European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice.eu; European Association for the Study of Diabetes (EASD); European Association for the Study of Obesity (EASO). J Hepatol. 2016; 64:1388– 14022.

2. Fedchuk L, Nascimbeni F, Pais R, Charlotte F, Housset C, Ratziu V. Performance and limitations of steatosis biomarkers in patients with nonalcoholic fatty liver disease. Aliment Pharmacol Ther 2014;40:1209-1222.

3. Angulo P, Kleiner DE, Dam-Larsen S, Adams LA, Bjornsson ES, Charatcharoenwitthaya P, Mills PR, et al. Liver Fibrosis, but No Other Histologic Features, Is Associated With Long-term Outcomes of Patients With Nonalcoholic Fatty Liver Disease. Gastroenterology 2015;149:389-397 e310.

4. Ekstedt M, Hagstrom H, Nasr P, Fredrikson M, Stal P, Kechagias S, Hultcrantz R. Fibrosis stage is the strongest predictor for disease-specific mortality in NAFLD after up to 33 years of follow-up. Hepatology 2015;61:1547-1554.

5. Angulo P, Bugianesi E, Bjornsson ES, Charatcharoenwitthaya P, Mills PR, Barrera F, Haflidadottir S, et al. Simple Noninvasive Systems Predict Long-term Outcomes of Patients With Nonalcoholic Fatty Liver Disease. Gastroenterology 2013; 145:782–789.

6. Liu YL, Patman GL, Leahart JB, Piquet AC, Burt AD, Dufour JF, et al. Carriage of the PNPLA3 rs 738409C>G confers an increased risk of of non-alcoholic associated hepatocellular carcinoma. J Hepatol 2014; 61: 75-81.

7. Sanyal A, Brunt E, KleinerK, Kowdley V, Chalasani, Lavine JE, Ratziu V, McCullough A. Endpoints for clinical trial design for Nonalcoholic steatohepatitis. Hepatology 2011; 54:344-353

8. Bedossa P, FLIP Pathology Consortium. Utility and appropriateness of the fatty liver inhibition of progression (FLIP) algorithm and steatosis,

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activity, and fibrosis (SAF) score in the evaluation of biopsies of nonalcoholic fatty liver disease. Hepatology 2014;60:565–575

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