The egyptian clinical practice guidelines for the diagnosis and management of metabolic associated fatty liver disease - PubMed (original) (raw)

Practice Guideline

. 2022 Jan-Feb;28(1):3-20.

doi: 10.4103/sjg.sjg_357_21.

Gamal Esmat 2, Reda Elwakil 3, Serag Zakaria 2, Ayman Yosry 2, Imam Waked 4, Maissa El-Razky 2, Wahid Doss 2, Magdy El-Serafy 2, Ebraheem Mostafa 5, Mahmood Anees 6, Mohamed A Sakr 3, Nadia AbdelAty 3, Ashraf Omar 2, Samy Zaki 7, Amgad Al-Zahaby 7, Hamdy Mahfouz 8, Maysaa Abdalla 9, Mahmoud Albendary 10, Abdel-Khalek Hamed 11, Ahmed Gomaa 12, Adel Hasan 13, Sherif Abdel-Baky 14, Medhat El Sahhar 15, Gamal Shiha 16, Dina Attia 17, Ebada Saeed 18, Enas Kamal 1, Shamardan Bazeed 19, Mai Mehrez 20, Shereen Abdelaleem 2, Yasmine Gaber 2, Mohammed Abdallah 21, Asmaa Salama 17, Doaa A Tawab 22, Shaymaa Nafady 17

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Practice Guideline

The egyptian clinical practice guidelines for the diagnosis and management of metabolic associated fatty liver disease

Yasser Fouad et al. Saudi J Gastroenterol. 2022 Jan-Feb.

Abstract

The landscape of chronic liver disease in Egypt has drastically changed over the past few decades. The prevalence of metabolic-associated fatty liver disease (MAFLD) has risen to alarming levels. Despite the magnitude of the problem, no regional guidelines have been developed to tackle this disease. This document provides the clinical practice guidelines of the key Egyptian opinion leaders on MAFLD screening, diagnosis, and management, and covers various aspects in the management of MAFLD. The document considers our local situations and the burden of clinical management for the healthcare sector and is proposed for daily clinical practical use. Particular reference to special groups was done whenever necessary.

Keywords: Egyptian; MAFLD; guidelines.

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Conflict of interest statement

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Figures

Figure 1

Figure 1

The Egyptian guidelines recommended an algorithm to diagnose MAFLD in suspected patients, and evaluation, management, and monitoring disease severity approach for confirmed subjects. The proposed model is a primary care-based multidisciplinary care model for MAFLD, whereas the initial identification of cases would mainly occur at primary care, with an attached appropriate referral pathway for specialist care, as illustrated.

Figure 2

Figure 2

The Egyptian guidelines recommended an algorithm to evaluate and manage patients with MAFLD-related compensated and decompensated cirrhosis.

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