A 52-year-old man with obesity and type 2 diabetes is found to have elevated liver enzymes and ultrasound findings consistent with non-alcoholic fatty...

Question

A 52-year-old man with obesity and type 2 diabetes is found to have elevated liver enzymes and ultrasound findings consistent with non-alcoholic fatty liver disease (NAFLD). He drinks minimal alcohol. Which is the most appropriate strategy to assess his risk of advanced fibrosis in a general practice setting?

Accepted Answer

Use a non-invasive fibrosis score such as FIB-4 or NAFLD fibrosis score and consider transient elastography if indeterminate or high

Answer

Liver biopsy for all patients with NAFLD

Answer

Routine CT abdomen with contrast

Answer

Serial ultrasound every 6 months

Answer

No further assessment is required

au-amc MCQ (SBA): Non-alcoholic fatty liver disease fibrosis assessment