Role of nutrition in liver transplantation for end-stage chronic liver disease

Stickel, Felix; Inderbitzin, Daniel; Candinas, Daniel (2008). Role of nutrition in liver transplantation for end-stage chronic liver disease. Nutrition reviews, 66(1), pp. 47-54. Hoboken, N.J.: Oxford University Press 10.1111/j.1753-4887.2007.00005.x

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Patients with end-stage liver disease often reveal significant protein-energy malnutrition, which may deteriorate after listing for transplantation. Since malnutrition affects post-transplant survival, precise assessment must be an integral part of pre- and post-surgical management. While there is wide agreement that aggressive treatment of nutritional deficiencies is required, strong scientific evidence supporting nutritional therapy is sparse. In practice, oral nutritional supplements are preferred over parenteral nutrition, but enteral tube feeding may be necessary to maintain adequate calorie intake. Protein restriction should be avoided and administration of branched-chain amino acids may help yield a sufficient protein supply. Specific problems such as micronutrient deficiency, fluid balance, cholestasis, encephalopathy, and comorbid conditions need attention in order to optimize patient outcome.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Hepatology
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery

UniBE Contributor:

Stickel, Felix; Inderbitzin, Daniel and Candinas, Daniel

ISSN:

0029-6643

ISBN:

18254884

Publisher:

Oxford University Press

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:05

Last Modified:

27 Apr 2018 10:01

Publisher DOI:

10.1111/j.1753-4887.2007.00005.x

PubMed ID:

18254884

Web of Science ID:

000252964400006

BORIS DOI:

10.7892/boris.28346

URI:

https://boris.unibe.ch/id/eprint/28346 (FactScience: 120241)

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