A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes Mellitus

Obesity is a major contributor to insulin resistance and nonalcoholic fatty liver disease, which is the most common cause of chronic liver diseases. Nonalcoholic steatohepatitis (NASH) can progress to liver cirrhosis and end-stage liver diseases. Some cases already show severe liver fibrosis at the...

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Main Authors: Yuichi Honma, Kazuhiro Sumida, Noriyoshi Ogino, Masashi Kusanaga, Sota Minami, Shinsuke Kumei, Hidehiko Matsuoka, Tatsuyuki Watanabe, Masaaki Hiura, Shintaro Abe, Michihiko Shibata, Masaru Harada
Format: Article
Language:English
Published: Karger Publishers 2018-08-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://www.karger.com/Article/FullText/492423
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spelling doaj-b232b3d2eed94a1c9d5bc9784507d7512020-11-25T00:54:33ZengKarger PublishersCase Reports in Gastroenterology1662-06312018-08-0112248749610.1159/000492423492423A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes MellitusYuichi HonmaKazuhiro SumidaNoriyoshi OginoMasashi KusanagaSota MinamiShinsuke KumeiHidehiko MatsuokaTatsuyuki WatanabeMasaaki HiuraShintaro AbeMichihiko ShibataMasaru HaradaObesity is a major contributor to insulin resistance and nonalcoholic fatty liver disease, which is the most common cause of chronic liver diseases. Nonalcoholic steatohepatitis (NASH) can progress to liver cirrhosis and end-stage liver diseases. Some cases already show severe liver fibrosis at the time of diagnosis. We present the case of a 44-year-old male with overt obesity who was admitted with hematemesis due to the rupture of gastric varices. We diagnosed him with NASH with severe liver fibrosis. This case shows that we should be concerned about the progression of liver fibrosis due to NASH associated with severe obesity even in young patients.https://www.karger.com/Article/FullText/492423Nonalcoholic steatohepatitisYoung patientInsulin resistanceObesityGastroesophageal varices
collection DOAJ
language English
format Article
sources DOAJ
author Yuichi Honma
Kazuhiro Sumida
Noriyoshi Ogino
Masashi Kusanaga
Sota Minami
Shinsuke Kumei
Hidehiko Matsuoka
Tatsuyuki Watanabe
Masaaki Hiura
Shintaro Abe
Michihiko Shibata
Masaru Harada
spellingShingle Yuichi Honma
Kazuhiro Sumida
Noriyoshi Ogino
Masashi Kusanaga
Sota Minami
Shinsuke Kumei
Hidehiko Matsuoka
Tatsuyuki Watanabe
Masaaki Hiura
Shintaro Abe
Michihiko Shibata
Masaru Harada
A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes Mellitus
Case Reports in Gastroenterology
Nonalcoholic steatohepatitis
Young patient
Insulin resistance
Obesity
Gastroesophageal varices
author_facet Yuichi Honma
Kazuhiro Sumida
Noriyoshi Ogino
Masashi Kusanaga
Sota Minami
Shinsuke Kumei
Hidehiko Matsuoka
Tatsuyuki Watanabe
Masaaki Hiura
Shintaro Abe
Michihiko Shibata
Masaru Harada
author_sort Yuichi Honma
title A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes Mellitus
title_short A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes Mellitus
title_full A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes Mellitus
title_fullStr A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes Mellitus
title_full_unstemmed A Young Adult Patient with Nonalcoholic Steatohepatitis Developed Severe Gastroesophageal Varices Associated with Severe Obesity and Diabetes Mellitus
title_sort young adult patient with nonalcoholic steatohepatitis developed severe gastroesophageal varices associated with severe obesity and diabetes mellitus
publisher Karger Publishers
series Case Reports in Gastroenterology
issn 1662-0631
publishDate 2018-08-01
description Obesity is a major contributor to insulin resistance and nonalcoholic fatty liver disease, which is the most common cause of chronic liver diseases. Nonalcoholic steatohepatitis (NASH) can progress to liver cirrhosis and end-stage liver diseases. Some cases already show severe liver fibrosis at the time of diagnosis. We present the case of a 44-year-old male with overt obesity who was admitted with hematemesis due to the rupture of gastric varices. We diagnosed him with NASH with severe liver fibrosis. This case shows that we should be concerned about the progression of liver fibrosis due to NASH associated with severe obesity even in young patients.
topic Nonalcoholic steatohepatitis
Young patient
Insulin resistance
Obesity
Gastroesophageal varices
url https://www.karger.com/Article/FullText/492423
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