Siêu âm bụng  301 ca, tuổi trung bình 46, uống rượu ít nhất 10 năm với lượng 180gr mỗi ngày, ngoài tăng men gan ALT và bilirubin, Fuster và cs  phát hiện gan thấm mỡ, gan to, gan không đồng dạng và  cao áp tĩnh mạch Cửa.
Gan thấm mỡ không viêm có thể trở lại bình thường hay nhẹ đi nếu ngưng uống rượu.

Siêu âm  phát hiện bệnh lý gan do rượu trong giai đoạn sớm giúp quyết định ngừng uống rượu. 


By Kate Madden Yee, AuntMinnie.com staff 
August 1, 2018 -- Using ultrasound to identify liver damage in alcoholic patients helps inform treatment decisions in this population and may even lead to improved prognoses, according to a study published online in Drug and Alcohol Dependence.

Liver disease due to alcohol use can manifest in a variety of conditions: steatosis, steatohepatitis, acute alcoholic hepatitis, cirrhosis of the liver, and hepatocarcinoma. Some of these can be reversed or mitigated if the patient quits drinking. For example, steatosis without inflammation can be reversed if drinking is stopped. Once steatohepatitis has been established, liver damage can't be fully reversed, but quitting alcohol can lessen portal hypertension.
And since alcoholic patients tend to be more vulnerable to hepatitis C, a timely diagnosis can lead to better prognosis and treatment planning, wrote a team led by Dr. Daniel Fuster of Autonomous University of Barcelona in Spain (Drug Alcohol Depend, July 19, 2018).



Although ultrasound is regularly used to diagnose nonalcoholic steatohepatitis, it's less frequently used for the screening and early detection of liver disease in patients with alcohol use disorder (AUD), the authors noted.
"New strategies aimed at the early detection and treatment of liver-related conditions are needed for this population. Liver ultrasound is an easy-to-perform technique that is rarely used in asymptomatic patients with AUD," the team wrote. "We aimed to describe ultrasound findings of liver disease in patients seeking treatment for AUD."