Based on the reports shared, your brother has severe fatty
liver (CAP 315 dB/m) along with advanced liver fibrosis (FibroScan 15.2 kPa).
The upper GI endoscopy showing prominent esophageal veins and mild portal hypertensive gastropathy suggests clinically significant portal hypertension, indicating that the liver has developed significant scarring.
Next Steps
Action Plan A. Confirm the diagnosis and cause B. Stage the severity of
liver disease C. Initiate measures to Prevent further complications D. Intensive lifestyle modification with 7-10% weight loss E. Regular follow-up with Hepatologist or Gastroenterologist
Health Tips
Although your brother has advanced
liver disease, this is not a hopeless situation. The focus now is to identify the underlying cause, halt disease progression, prevent complications, and optimize long-term liver health. Early and consistent specialist care can substantially improve his prognosis.