What are American College of Gastroenterology (ACG) guidelines for the evaluation of alcoholic liver disease (ALD)?

Updated: Apr 12, 2018
  • Author: Emily Tommolino, MD; Chief Editor: BS Anand, MD  more...
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The 2018 ACG guidelines on alcoholic liver disease (ALD) provided the following guidance [92] :

  • Liver function tests and ultrasonography are recommended for patients with harmful alcohol use and/or alcohol disorders.

  • Liver biopsy is not routinely recommended for diagnosis of alcoholic fatty liver disease, but it and noninvasive tools of fibrosis may be considered for diagnosis of steatohepatitis and/or liver fibrosis.

  • The Alcohol Use Disorders Inventory Test (AUDIT) is validated for identifying individuals with alcohol use and dependence.

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