Ultrasound and transient elastography in type 2 diabetic patients with non-alcoholic fatty liver disease
Keywords:
DIABETES MELLITUS, TYPE 2, NON-ALCOHOLIC FATTY LIVER DISEASE, ELASTICITY IMAGING TECHNIQUES, LIVER CIRRHOSISAbstract
Background: transient elastography (FibroScan) is a non-invasive technique to detect the degree of liver fibrosis, being an important alternative to liver biopsy.
Objective: to characterize, by using ultrasonography and elastography, a sample of patients diagnosed with type 2 diabetes mellitus and non-alcoholic liver steatosis treated at the “Hermanos Ameijeiras” Clinico-surgical Hospital of Havana, from January 2016 through May 2018.
Methods: a descriptive and cross-sectional study was carried out with 33 patients having the described conditions at the aforementioned institution and during the period herein declared. Abdominal ultrasound was performed to assess the severity of liver steatosis, and transient elastography to determine the fibrosis degree. Biochemical tests were run.
Results: a mild degree of fibrosis was found in 39,4 % of the cases, and severe liver fibrosis was detected in 27,3 %. A moderately increased echogenicity was observed in 45,5 %. 100 % of the patients with mild ultrasound hyperechogenicity presented mild liver fibrosis with FibroScan. The most altered humoral patterns were triglycerides (75,8 %), total cholesterol (66,7 %) and glycemia (87,9 %).
Conclusions: the echographic patterns in type 2 diabetic patients with mild increase in liver echogenicity have a diagnostic coincidence with the results of transient elastography, for minimal fibrosis (F0-F1).Downloads
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