Fatty liver is also called nonalcoholic fatty liver disease (NAFLD) in adults. It is an ongoing silent epidemic in India. NAFLD refers to the presence of hepatic steatosis when there are no other causes for secondary hepatic fat accumulation such as heavy alcohol consumption.
NAFLD may progress to cirrhosis and is likely an important cause of cryptogenic cirrhosis. NAFLD is subdivided into the nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH). In NAFL, hepatic steatosis is present without evidence of inflammation, whereas in NASH, hepatic steatosis is associated with hepatic inflammation that histologically is indistinguishable from alcoholic steatohepatitis Risk factors for cirrhosis are, older age, diabetes, SGOT: inSGPT >2 times, BMI >28, higher visceral adiposity index, which takes into account waist circumference, BMI, triglycerides and high-density…
