Features diagnostics and military medical examination of non-alcoholic fatty liver disease
- Authors: Grinevich V.B.1, Datsko А.V.2, Kravchuk Y.А.1, Bakushkin I.А.1, Arapkhanova М.М.1, Petrova О.N.2, Koryakin S.V.2
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Affiliations:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation
- Issue: Vol 343, No 6 (2022)
- Pages: 40-48
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/629906
- DOI: https://doi.org/10.52424/00269050_2022_343_6_40
- ID: 629906
Cite item
Abstract
Non-alcoholic fatty liver disease is a widespread and steadily progressive pathology throughout the world. The basis of the pathogenesis of this disease is a violation of the structure and function of the intestinal microbiome with a change in the permeability of the intestinal mucosa barrier, the development of intestinal endotoxemia, cytokine aggression, oxidative stress, chronic systemic inflammation of low intensity, insulin resistance and hyperinsulinemia. The clinical picture of the pre-cirrhotic stage of the disease is characterized by a low severity of symptoms. Non-alcoholic fatty liver disease is a diagnosis of exclusion and requires a comprehensive evaluation of the patient. Currently, there is a tendency to an increase in the number of conscripts and overweight military personnel who have this pathology. The formulation of a clinical and expert diagnosis in non-alcoholic fatty liver disease has important features that must be taken into account when conducting a military medical examination.
About the authors
V. B. Grinevich
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: kravchuk2003@mail.ru
профессор, полковник медицинской службы запаса
Russian Federation, Saint PetersburgА. V. Datsko
The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation
Email: olga.petrova.71@mail.ru
полковник медицинской службы
Russian Federation, MoscowYu. А. Kravchuk
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: kravchuk2003@mail.ru
профессор, полковник медицинской службы запаса
Russian Federation, Saint PetersburgI. А. Bakushkin
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: kravchuk2003@mail.ru
кандидат медицинских наук, подполковник медицинской службы запаса
Russian Federation, Saint PetersburgМ. М. Arapkhanova
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: kravchuk2003@mail.ru
Russian Federation, Saint Petersburg
О. N. Petrova
The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation
Email: olga.petrova.71@mail.ru
подполковник медицинской службы
Russian Federation, MoscowS. V. Koryakin
The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation
Email: olga.petrova.71@mail.ru
подполковник медицинской службы
Russian Federation, MoscowReferences
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