ESPEN guidelines on enteral nutrition:: Liver disease

被引：431
|
作者：
Plauth, M. [1 ]
Cabre, E.
Riggio, O.
Assis-Camilo, M.
Pirlich, M.
Kondrup, J.
Ferenci, P.
Holm, E.
vom Dahl, S.
Mueller, M. J.
Nolte, W.
机构：
[1] Staedt Klinikum, Dept Internal Med, Dessau, Germany
[2] Hosp Badalona Germans Trias & Pujol, Dept Gastroenterol, Badalona, Spain
[3] Univ Roma La Sapienza, Dept Gastroenterol 2, Rome, Italy
[4] Univ Lisbon, Fac Med, Ctr Nutr & Metab, P-1699 Lisbon, Portugal
[5] Charite, CCM, Dept Gastroenterol, Berlin, Germany
[6] Rigshosp, Clin Nutr Unit 5711, DK-2100 Copenhagen, Denmark
来源：
CLINICAL NUTRITION | 2006年 / 25卷 / 02期
关键词：
guideline; clinical practice; evidence-based; enteral nutrition; oral nutritional supplements; tube feeding; liver cirrhosis; ASH; NASH; acute liver failure;
D O I：
10.1016/j.clnu.2006.01.018
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：
Enteral nutrition (EN) by means of oral nutritional supplements (ONS) and tube feeding (TF) offers the possibility to increase or to insure nutrient intake in case of insufficient oral food intake. The present guideline is intended to give evidence-based recommendations for the use of ONS and TF in patients with liver disease (LD). It was developed by an interdisciplinary expert group in accordance with officially accepted standards and is based on all. relevant publications since 1985. The guideline was discussed and accepted in a consensus conference. EN by means of ONS is recommended for patients with chronic LD in whom undernutrition is very common. ONS improve nutritional status and survival in severely malnourished patients with alcoholic hepatitis. In patients with cirrhosis, TF improves nutritional status and liver function, reduces the rate of complications and prolongs survival. TF commenced early after liver transplantation can reduce complication rate and cost and is preferable to parenteral nutrition. In acute liver failure TF is feasable and used in the majority of patients. The full version of this article is available at www.espen.org. (C) 2006 European Society for Clinical Nutrition and Metabolism. All rights reserved.
引用
收藏
页码：285 / 294
页数：10
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