It is a liver disease characterized by the accumulation of fatty acids and triglycerides in liver cells (hepatocytes).
Alcohol is a frequent cause of fatty liver, and it is a factor that should always be considered in a patient with fatty liver.
The accumulation of fat in hepatocytes can lead to liver inflammation, with the possibility of developing fibrosis and finally end in chronic liver damage (or cirrhosis).
The cause of the accumulation of fat in the liver is not known with certainty, but there are some mechanisms that have proven to be very important in the development of the disease:
- Resistance to insulin.
- The oxidative stress
- The release of cytokines.
- Hepatitis B virus
- hepatitis C infection
- autoimmune hepatitis
The finding of fatty liver is persistent. This disease is associated with the following risk factors:
- Obesity and overweight.
Signs and Symptoms
- Weight loss or loss of appetite
- Impaired judgment
- The finding of aminotransferases (transaminases)elevated in a routine blood test or for any other reason.
- An abdominal ultrasound (or ultrasound) showing the liver with increased echogenicity (“bright”).
- Liver biopsy is the only test that certifies the diagnosis and is a low-risk procedure
Treatment and Management
- Stop drinking alcohol
- If you have an alcoholic liver disease, stop drinking is the most important thing you can do
- Make a proper diet to lose weight
- If you are overweight or obese, enter an adequate regimen to gradually lose weight – no more than 1 or 1.5 kilos per week.
- Avoid refined foods and opt for fresh, natural foods
- Avoid unnecessary medications
- Avoiding unnecessary medications can also help delay or reverse the disease
- Make use of nutrients directly from natural foods such as fruits, vegetables, and seeds
- A liver transplant may be needed in sever situation. A surgeon removes the damaged liver and replaces it with a healthy one. These in cases, as we have said, are severe where life is already exposed.
- Bariatric surgery is a procedure that is performed in patients with morbid obesity to reduce the capacity of the stomach, which helps to lose weight and relieve the effort.