LETTER
Nonalcoholic Steatohepatitis
James M. Walker, MD
1 September 1997 | Volume 127 Issue 5 | Page 411
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.
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Author and Article Information
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Pennsylvania State College of Medicine; Hershey, PA 17033
1. Sheth SG, Gordon FD, Chopra S. Nonalcoholic steatohepatitis. Ann Intern Med. 1997; 126:137-45.
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