Non-alcoholic fatty liver disease screening

Non-Alcoholic Fatty Liver Disease Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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Screening

• There is insufficient evidence to recommend routine screening for NAFLD.
• Most of the time NAFLD is accidental finding on routine ultrasound.

Incidental finding of Fatty liver on ultrasound

Check for persistently raised LFTs

Ask the patient for significant alcohol intake

NO

YES

Diagnose NAFLD

Consider other alcoholic related diseases

Monitor severity of the disease

Offer Enhanced Liver Fibrosis Test (ELF)

(>10.51) ELF Positive

(<10.51) ELF Negative

Indicating advanced fibrosis and risk of progression to cirrhosis

Typically Benign -- Advanced fibrosis unlikely

Refer the patient to Heptologist

• On negative ELF test offer retest for every 3 years for adults and 2 years for children.