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Letters |1 September 1997

Nonalcoholic Steatohepatitis

James M. Walker, MD

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Author, Article, and Disclosure Information
  • Pennsylvania State College of Medicine; Hershey, PA 17033
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TO THE EDITOR:
I found it odd that Sheth and colleagues' useful review of nonalcoholic steatohepatitis [1] recommended liver ultrasonography, liver-vessel Doppler ultrasonography, and liver biopsy without providing any estimate for the likelihood of discovering treatable disease in patients in whom the clinical examination and results of preliminary testing are unremarkable. Even when evidence is limited, it would be useful to known what the evidence and its strength are, particularly in the case of liver biopsy. The finite morbidity and mortality associated with this test may well be greater than the likely benefit.
James M. Walker, MD
Pennsylvania State College...
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Walker JM. Nonalcoholic Steatohepatitis. Ann Intern Med. 1997;127:411. doi: 10.7326/0003-4819-127-5-199709010-00017

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Published: Ann Intern Med. 1997;127(5):411.

DOI: 10.7326/0003-4819-127-5-199709010-00017

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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