Evaluation of Fatty Liver – Beyond sonography and SGPT
Evaluation of Fatty Liver – Beyond sonography and SGPT How many of you have fatty liver on sonography? How did you come to know that you have fatty Liver? What tests did you carry out to evaluate fatty liver? Fatty Liver is most diagnosed incidentally when patients get evaluated for abdominal discomfort or as a routine health checkup. Sometimes it gets diagnosed when altered liver tests are noticed. It affects nearly one quarter of our population. Whenever there is fatty liver, the pragmatic next step is to start evaluating for metabolic syndrome like diabetes, hypertension, abnormal cholesterol levels, obesity, thyroid abnormalities, sleep apnea. The next step is to exclude other liver disease like viral hepatitis, autoimmune hepatitis, and metabolic liver disease. Once fatty liver is diagnosed, we need to evaluate the stage of fatty liver disease. There is a misconception that ultrasound gives you the stage of liver disease. It does not give stage of liver disease but just grade of