Mini Review
Volume 8 Issue 5 - 2021
Fatty Liver Disease, a New Pandemic?
Carlos Castañeda Guillot1,2*
1Emeritus Professor, Faculty of Medicine, Autonomous Regional University of Los Andes, Ambato, Ecuador
2Consulting Professor, Senior Research, Medical Faculty Calixto Garcia, Medical University of La Habana, Cuba
*Corresponding Author: Carlos Castañeda Guillot, Emeritus Professor, Faculty of Medicine, Autonomous Regional University of Los Andes, Ambato, Ecuador.
Received: March 23, 20211; Published: April 14, 2021


Nonalcoholic fatty liver disease represents a major health problem worldwide, as it is the most common cause of chronic liver disease with a high prevalence in childhood, adolescence and adults and is associated with obesity. Multiple hits have been postulated in the pathogenesis. Reference is made to the intestine-liver axis among the mechanisms involved as well as the role of dysbiosis of the intestinal microbiome and alterations of the barrier and in the permeability of the intestine. The value of diet and exercises together with therapeutic management is discussed. Mention is made to new emerging drugs subject of clinical trials in the preclinical and clinical phase related to the pathogenesis stage of nonalcoholic steatohepatitis, while emphasizing the investment and development projects for 2020-2029 by the global pharmaceutical industry. The potential use of gut microbiota manipulations is mentioned as a target in new next generation probiotic adjuvant therapy in association with diet and exercise as promising future treatments.

Keywords: Fatty Liver; Nonalcoholic Fatty Liver Disease; Steatohepatitis, Treatment: Medications; Intestinal Microbiota Modulation; Probiotics


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Citation: Carlos Castañeda Guillot. “Fatty Liver Disease, a New Pandemic?”. EC Gastroenterology and Digestive System 8.5 (2021): 15-19.

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