Key takeaways from the updated multidisciplinary European MASLD guidelines

The new European clinical practice guidelines from three scientific societies (European Association for the Study of the Liver, European Association for the Study of Diabetes and European Association for the Study of Obesity) on the management of metabolic dysfunction-associated steatotic liver dise...

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Main Authors: Frank Tacke, Paul Horn
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:eGastroenterology
Online Access:https://egastroenterology.bmj.com/content/3/2/e100196.full
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author Frank Tacke
Paul Horn
author_facet Frank Tacke
Paul Horn
author_sort Frank Tacke
collection DOAJ
description The new European clinical practice guidelines from three scientific societies (European Association for the Study of the Liver, European Association for the Study of Diabetes and European Association for the Study of Obesity) on the management of metabolic dysfunction-associated steatotic liver disease (MASLD) provide detailed recommendations on diagnosis, risk stratification, monitoring strategies, treatment and prevention. Lifestyle interventions (eg, weight reduction, Mediterranean diet, exercise, alcohol abstinence) and the treatment of cardiometabolic risk factors continue to be the mainstay of treatment and prevention of the disease. Incretin mimetics that are approved to treat obesity and/or type 2 diabetes such as semaglutide and tirzepatide have benefits for ameliorating metabolic dysfunction-associated steatohepatitis (MASH). Novel developments include adapted strategies for screening (case finding) using non-invasive tests (NITs) with a focus on detecting fibrosis or cirrhosis, risk-adjusted monitoring of MASLD by NITs as well as the recommendation to use, if locally approved, the thyroid hormone receptor β-agonist resmetirom in patients with non-cirrhotic MASH fibrosis (≥F2 stage).
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spelling doaj-art-9aeeaeca84d44bc9a34aafe343aaf54d2025-08-20T03:15:47ZengBMJ Publishing GroupeGastroenterology2766-01252976-72962025-06-013210.1136/egastro-2025-100196Key takeaways from the updated multidisciplinary European MASLD guidelinesFrank Tacke0Paul Horn11 Department of Hepatology and Gastroenterology, Charité—Universitätsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany1 Department of Hepatology and Gastroenterology, Charité—Universitätsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, GermanyThe new European clinical practice guidelines from three scientific societies (European Association for the Study of the Liver, European Association for the Study of Diabetes and European Association for the Study of Obesity) on the management of metabolic dysfunction-associated steatotic liver disease (MASLD) provide detailed recommendations on diagnosis, risk stratification, monitoring strategies, treatment and prevention. Lifestyle interventions (eg, weight reduction, Mediterranean diet, exercise, alcohol abstinence) and the treatment of cardiometabolic risk factors continue to be the mainstay of treatment and prevention of the disease. Incretin mimetics that are approved to treat obesity and/or type 2 diabetes such as semaglutide and tirzepatide have benefits for ameliorating metabolic dysfunction-associated steatohepatitis (MASH). Novel developments include adapted strategies for screening (case finding) using non-invasive tests (NITs) with a focus on detecting fibrosis or cirrhosis, risk-adjusted monitoring of MASLD by NITs as well as the recommendation to use, if locally approved, the thyroid hormone receptor β-agonist resmetirom in patients with non-cirrhotic MASH fibrosis (≥F2 stage).https://egastroenterology.bmj.com/content/3/2/e100196.full
spellingShingle Frank Tacke
Paul Horn
Key takeaways from the updated multidisciplinary European MASLD guidelines
eGastroenterology
title Key takeaways from the updated multidisciplinary European MASLD guidelines
title_full Key takeaways from the updated multidisciplinary European MASLD guidelines
title_fullStr Key takeaways from the updated multidisciplinary European MASLD guidelines
title_full_unstemmed Key takeaways from the updated multidisciplinary European MASLD guidelines
title_short Key takeaways from the updated multidisciplinary European MASLD guidelines
title_sort key takeaways from the updated multidisciplinary european masld guidelines
url https://egastroenterology.bmj.com/content/3/2/e100196.full
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