Nutrition in hepatic failure and liver transplantation.

被引：24

作者：

Aranda-Michel J. ^{[1
]}

机构：

[1] Division of Digestive Diseases, Hepatology and Liver Transplant Medicine, University of Cincinnati College of Medicine, Cincinnati, 45267-0595, OH

来源：

Current Gastroenterology Reports | 2001年 / 3卷 / 4期

关键词：

Liver Disease; Liver Transplantation; Chronic Liver Disease; Hepatic Encephalopathy; Nutritional Support;

D O I：

10.1007/s11894-001-0061-0

中图分类号：

学科分类号：

摘要：

Protein-energy malnutrition (PEM) is a common problem in patients with end-stage liver disease, and it is universally present in patients undergoing orthotopic liver transplantation. Although PEM is an independent risk factor for morbidity and mortality, it need not be considered an absolute contraindication for liver transplantation. The etiology of PEM in liver disease is multifactorial and includes decreased nutrient and calorie intake, alterations in intestinal malabsorption and/or maldigestion, and diverse abnormalities of carbohydrate, fat, and protein metabolism. This article reviews the prevalence of malnutrition, its pathophysiology, different modalities for assessment of body composition, and general guidelines for nutritional support in patients with liver disease and liver transplantation.

引用

页码：362 / 370

页数：8

共 187 条

[1]

Prijatmoko D(1993)Early detection of protein depletion in alcoholic cirrhosis: role of body composition analysis Gastroenterology 105 1839-1845

[2]

Strauss BJ(1997)Protein calorie malnutrition and the etiology of cirrhosis Am J Gastroenterol 92 734-738

[3]

Lambert JR(1994)Nutritional status in cirrhosis J Hepatol 21 317-325

[4]

McCullough AJ(1991)Nutrition and alcoholic liver disease JPEN J Paranter Enteral Nutr 15 337-344

[5]

Bugianesi E(1995)Protein energy malnutrition in severe alcoholic hepatitis: diagnosis and response to treatment. The VA Cooperative Study Group #275 JPEN J Parenter Enteral Nutr 19 258-265

[6]

Marsano L(1992)Protein-calorie malnutrition in liver cirrhosis Clin Invest 70 478-486

[7]

McClain CJ(1989)Assessment of nutritional status of patients with end-stage liver disease undergoing liver transplantation Mayo Clin Proc 64 95-102

[8]

Mendenhall CL(1990)Nutritional implications of liver transplantation Henry Ford Hosp Med J 38 235-240

[9]

Moritz TE(1985)Nutrition in patients undergoing orthotopic liver transplant JPEN J Parenter Enteral Nutr 9 695-700

[10]

Roselle GA(1999)Liver cirrhosis: rationale and modalities for nutritional support—the European Society of Parenteral and Enteral Nutrition consensus and beyond Curr Opin Clin Nutr Metab Care 2 345-349

← 1 2 3 4 5 6 7 8 9 10 →