CONSULT REQUEST GUIDELINES                                                                         Print

Non-alcoholic Fatty Liver (NAFLD/NASH)

Suggested Pre-Referral Evaluation and Management Guidelines Referral for NAFLD is appropriate for patients with:
  • Patients with persistently abnormal liver enzymes - confirmed on repeat test at least 3 months apart
  • Or evidence of fatty liver on ultrasound
General counseling for patients with confirmed infection:
  • Decrease or abstain from alcohol
  • Recommend diet and exercise for weight control if overweight or obese, and evaluation and management of associated metabolic abnormalities including diabetes, hypertension and hyperlipidemia
Non-alcoholic fatty liver disease should be suspected in patients with persistently elevated liver enzymes after other common causes of liver disease e.g. hepatitis B and C, and alcohol have been ruled out, particularly if patient is overweight or obese or has central obesity despite normal BMI, and other metabolic abnormalities such as diabetes, hypertension and hyperlipidemia.
Suggested Additional Test/Management Prior to Specialty Visit

Abnormal liver enzymes if mild should be confirmed on repeat testing

Obtaining recent results for the following would facilitate care recommendations prior to specialty appointment:

  • Routine lab testing to assess staging of liver disease: CBC, CMP, INR
  • Liver ultrasound
  • HBsAg, anti-HCV

Fasting glucose or HbA1c, lipid panel
Patient Education/Information (includes preps) Fatty Liver Disease (Non-Alcoholic)
Appointment Timeframe Approximately 4-8 weeks.
How to Get Results to Consultant UMHS patients: See MiChart
External patients: Fax non-UM records to liver office 734-998-1453
Clinic Contact Information Physician/Patients: 800-962-3555 or 800-395-6431
Patients 844-233-0433
Clinic Location Sites GI Clinic Locations
UM Consulting Physician Hepatology Faculty
Revised on: 12/18/2015
 
 

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