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Histopathological differences utilizing the nonalcoholic fatty liver disease activity score criteria in diabetic(type 2 diabetes mellitus) and non-diabetic patients with nonalcoholic fatty liver disease

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World Journal of Hepatology 2015年第25期7卷 2610-2618页

作者： Bharat K Puchakayala Siddharth Verma Pushpjeet Kanwar John Hart Raghavendra R Sanivarapu Smruti R Mohanty Center for liver diseases Division of Gastroenterology and HepatologyNew York Methodist Hospital at Weill Cornell Medical College Department of Pathology University of Chicago Medical Center

AIM: To study clinical and histopathological features of nonalcoholic fatty liver disease(NAFLD) in patients with and without type 2 diabetes mellitus(T2DM) using updated nonalcoholic steatohepatitis clinical research network(NASH-CRN) grading ***: We retrospectively analyzed data of 235 patients with biopsy proven NAFLD with and without T2 *** database was utilized in the previously published study comparing ethnicity outcomes in NAFLD by the same corresponding *** pathology database from University of Chicago was utilized for enrolling consecutive patients who met the criteria for NAFLD and their detailed clinical and histopathology findings were obtained for *** relevant clinical profile of patients was collected from the Electronic Medical Records around the time of liver biopsy and the histology was read by a single well-trained *** updated criteria for type 2 diabetes have been utilized for *** data of patients with NASH and NAFLD has been *** mean differences were compared using χ2 and t-test along with regression analysis to evaluate the predictors of NASH and advanced ***: Patients with NAFLD and T2 DM were significantly older(49.9 vs 43.0,P activity score(3.5 vs 3.0,P = 0.03) and higher mean fibrosis score(1.2 vs 0.52,P < 0.01) compared to patients with NAFLD without T2 ***,advanced fibrosis(32.5 vs 12.0,P < 0.01) and ballooning(27.3 vs 13.3,P < 0.01) was significantly higher among patients with NAFLD and T2 DM compared to patients with NAFLD without T2 *** multivariate analysis,T2 DM was independently associated with NASH(OR = 3.27,95%CI: 1.43-7.50,P < 0.01)

关键词： non-alcoholic steatohepatitis non-alcoholic fatty liver disease Advanced fibrosis non-alcoholic fatty liver disease activity score Type 2 diabetes liver biopsy

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