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Gut 58:1538-1544 doi:10.1136/gut.2008.171280
  • Hepatology

The natural history of non-alcoholic fatty liver disease in children: a follow-up study for up to 20 years

Table 5

Follow-up liver biopsy (n = 5)

Patient no Interval between first and last liver biopsy (months) Date of liver biopsy (month/date/year) Steatosis grade Lobular inflammation grade Fibrosis stage Reason to repeat the liver biopsy
1 33 First biopsy (3/1993) Moderate Mild 1
Second biopsy (12/1995) Moderate Mild 1 Follow-up before ursodeoxycholic acid prescribed
2 57 First biopsy (7/1999) Mild Mild 0
Second biopsy (2/2001) Moderate Mild 1 Worsening of ALT levels
Last biopsy (4/2004) Severe Mild 4 Liver biopsy performed for persistently elevated ALT and done during laparoscopic cholecystectomy
3 82 First biopsy (12/1996) Mild Mild 0
Second biopsy (4/1999) Moderate Mild 1 Persistent abnormal liver tests
Last biopsy (11/2002) Moderate Moderate 3 Liver biopsy performed for persistently elevated liver enzymes and done during bariatric surgery
4 28 First biopsy (8/1990) Moderate Mild 0
Second biopsy (2/1991) Moderate Mild 0 Persistent abnormal liver tests
Third biopsy (12/1992) Moderate Mild 1 Follow-up before starting treatment with ursodeoxycholic acid
5 7 First biopsy (14 Oct 1998) Mild 0 0
Second biopsy (10/1999) Mild 0 1 Laparoscopic liver biopsy during surgery for persistent patent ductus venosis
  • ALT, alanine aminotransferase.

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