ESPEN practical guideline: Clinical nutrition in liver disease

被引：238

作者：

Bischoff, Stephan C. ^{[1
]}

Bernal, William ^{[2
]}

Dasarathy, Srinivasan ^{[3
]}

Merli, Manuela ^{[4
]}

Plank, Lindsay D. ^{[5
]}

Schuetz, Tatjana ^{[6
]}

Plauth, Mathias ^{[7
]}

机构：

[1] Univ Hohenheim, Dept Clin Nutr, Stuttgart, Germany

[2] Kings Coll Hosp London, Inst Liver Studies, London, England

[3] Cleveland Clin, Div Gastroenterol & Hepatol, Cleveland, OH 44106 USA

[4] Sapienza Univ Rome, Gastroenterol & Hepatol Unit, Rome, Italy

[5] Univ Auckland, Dept Surg, Auckland, New Zealand

[6] Univ Leipzig, Med Ctr, IFB Adipos Dis, Leipzig, Germany

[7] Municipal Hosp Dessau, Dept Internal Med, Dessau, Germany

来源：

CLINICAL NUTRITION | 2020年 / 39卷 / 12期

关键词：

Malnutrition; Sarcopenia; Acute liver failure; Fatty liver disease; Cirrhosis; Transplantation; NONALCOHOLIC FATTY-LIVER; CHAIN AMINO-ACIDS; LIFE-STYLE INTERVENTION; INTRAVENOUS LIPID EMULSIONS; SEVERE ALCOHOLIC HEPATITIS; HOME PARENTERAL-NUTRITION; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; ALANINE AMINOTRANSFERASE LEVELS; PROTEIN-CALORIE MALNUTRITION; RESTING ENERGY-EXPENDITURE;

D O I：

10.1016/j.clnu.2020.09.001

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background: The Practical guideline is based on the current scientific ESPEN guideline on Clinical Nutrition in Liver Disease. Methods: It has been shortened and transformed into flow charts for easier use in clinical practice. The guideline is dedicated to all professionals including physicians, dieticians, nutritionists and nurses working with patients with chronic liver disease. Results: A total of 103 statements and recommendations are presented with short commentaries for the nutritional and metabolic management of patients with (i) acute liver failure, (ii) alcoholic steatohepatitis, (iii) non-alcoholic fatty liver disease, (iv) liver cirrhosis, and (v) liver surgery/transplantation. The disease-related recommendations are preceded by general recommendations on the diagnostics of nutritional status in liver patients and on liver complications associated with medical nutrition. Conclusion: This practical guideline gives guidance to health care providers involved in the management of liver disease to offer optimal nutritional care. (C) 2020 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

引用

页码：3533 / 3562

页数：30

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