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Cited by 264

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Pathogenesis and management issues for non-alcoholic fatty liver disease

Open access
Duvnjak, Marko·2007·World Journal of Gastroenterology

Abstract

Nonalcoholic fatty liver disease (NAFLD) has, although it is a very common disorder, only relatively recently gained broader interest among physicians and scientists. Fatty liver has been documented in up to 10 to 15 percent of normal individuals and 70 to 80 percent of obese individuals. Although the pathophysiology of NAFLD is still subject to intensive research, several players and mechanisms have been suggested based on the substantial evidence. Excessive hepatocyte triglyceride accumulation resulting from insulin resistance is the first step in the proposed 'two hit' model of the pathogenesis of NAFLD. Oxidative stress resulting from mitochondrial fatty acids oxidation, NF-kappaB-dependent inflammatory cytokine expression and adipocytokines are all considered to be the potential factors causing second hits which lead to hepatocyte injury, inflammation and fibrosis. Although it was initially believed that NAFLD is a completely benign disorder, histologic follow-up studies have showed that fibrosis progression occurs in about a third of patients. A small number of patients with NAFLD eventually ends up with end-stage liver disease and even hepatocellular carcinoma. Although liver biopsy is currently the only way to confirm the NAFLD diagnosis and distinguish between fatty liver alone and NASH, no guidelines or firm recommendations can still be made as for when and in whom it is necessary. Increased physical activity, gradual weight reduction and in selected cases bariatric surgery remain the mainstay of NAFLD therapy. Studies with pharmacologic agents are showing promising results, but available data are still insufficient to make specific recommendations; their use therefore remains highly individual.

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Metadata

Authors
Duvnjak, M.
Venue
World Journal of Gastroenterology
Published
2007
Volume
13
Issue
34
Pages
4539
ISSN
1007-9327 (ISSN-L)
OpenAlex
W2121293580
Cited by
264
References
27
FWCI
14.66
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Pathogenesis and management issues for non-alcoholic fatty liver disease. https://app.cochat.ai/papers/10.3748/wjg.v13.i34.4539
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Duvnjak, M. (2007). Pathogenesis and management issues for non-alcoholic fatty liver disease. World Journal of Gastroenterology. https://doi.org/10.3748/wjg.v13.i34.4539

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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