Nasal Endoscopy and FESS: maneuver, indications, aims, complications

Here we will discuss the definition , causes , diagnosis and treatment of Non-Alcoholic fatty liver disease .

Definition

 Spectrum of liver disease caused by excees fat in the liver 

 **  Steatosis—> Non-Alcoholic Steato-Hepatitis —> Cirrhosis .

What is meant by Steatosis ?

 - Steatosis means fat exceeding 5% of the liver Wei ght.

 -  Steatohepatitis :  inflammation associated with steatosis.

Causes

• obesity
• Diabetes mellitus 
• HyperLipidaemia
• Malnutrition
• Drugs eg. contraceptives & methotrexate.
• 
  

Diagnosis

-Hepatomegaly which may be tender.

- Elevated transferases in NASH. 

- Bright liver by ultrasonography.

- Liver biopsy shows excess fat.

Treatment

1. Treatment of the cause.

2. Avoid fat & diminish carbohydrate in diet.

3. Excess fruits & fresh vegetables.

4. Regular physical exercise.