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Erschienen in: Die Diabetologie 6/2020

15.07.2020 | Typ-2-Diabetes | Leitthema

Neue diagnostische Methoden für Patienten mit Diabetes und Fettleber

Test, Scores und Elastographieverfahren

verfasst von: Prof. Dr. med. Jörn M. Schattenberg, Prof. Dr. med. Andreas Geier

Erschienen in: Die Diabetologie | Ausgabe 6/2020

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Zusammenfassung

Die nichtalkoholische Fettlebererkrankung (NAFLD) hat eine hohe Prävalenz bei Patienten, die mit Typ-2-Diabetes leben. In der Pathophysiologie spielen Leberentzündungen (Steatohepatitis), die über einen variablen Zeitraum zur Lebervernarbung (Fibrose) und Zirrhose führen können, eine bedeutende Rolle. Die Stadien der Erkrankung wurden histologisch definiert und sind deshalb außerhalb einer Diagnostik mit Leberbiopsie schwer voneinander zu unterscheiden. Die Entwicklung nichtinvasiver Biomarker ist deshalb ein Schwerpunkt der aktuellen Forschung. In den letzten Jahren sind sowohl neue bildgebende Verfahren als auch blutbasierte Biomarker entwickelt worden und werden absehbar die histologische Beurteilung der Erkrankung ergänzen oder sogar ersetzen. In der aktuellen Übersicht wird der Stand der Diagnostik und neuer Biomarker zusammengefasst und im Kontext von Patienten mit Diabetes mellitus Typ 2 bewertet.
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Metadaten
Titel
Neue diagnostische Methoden für Patienten mit Diabetes und Fettleber
Test, Scores und Elastographieverfahren
verfasst von
Prof. Dr. med. Jörn M. Schattenberg
Prof. Dr. med. Andreas Geier
Publikationsdatum
15.07.2020
Verlag
Springer Medizin
Erschienen in
Die Diabetologie / Ausgabe 6/2020
Print ISSN: 2731-7447
Elektronische ISSN: 2731-7455
DOI
https://doi.org/10.1007/s11428-020-00648-1

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