Optimizing Nutritional Management in Children with Chronic Liver Disease

被引：59

作者：

Nightingale, Scott ^{[1
,3
]}

Ng, Vicky Lee ^{[1
,2
,3
]}

机构：

[1] Hosp Sick Children, Div Gastroenterol Hepatol & Nutr, Toronto, ON M5G 1X8, Canada

[2] Dept Pediat, Toronto, ON M5G 1H4, Canada

[3] Hosp Sick Children, SickKids Transplant Ctr, Toronto, ON M5G 1X8, Canada

来源：

PEDIATRIC CLINICS OF NORTH AMERICA | 2009年 / 56卷 / 05期

关键词：

Malnutrition; Chronic liver disease; Biliary atresia; Cirrhosis; Growth failure; VITAMIN-E-DEFICIENCY; POLYUNSATURATED FATTY-ACIDS; POLYETHYLENE GLYCOL-1000 SUCCINATE; RESTING ENERGY-EXPENDITURE; BONE-MINERAL DENSITY; CHAIN AMINO-ACIDS; ENTERAL NUTRITION; K DEFICIENCY; ADVANCED CIRRHOSIS; BODY-COMPOSITION;

D O I：

10.1016/j.pcl.2009.06.005

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Malnutrition is common in infants and children with chronic liver disease (CLD) and may easily be underestimated by clinical appearance alone. The cause of malnutrition in CLD is multifactorial, although insufficient dietary intake is probably the most important factor and is correctable. Fat malabsorption occurs in cholestatic disorders, and one must also consider any accompanying fat-soluble vitamin and essential fatty acid deficiencies. The clinician should proactively evaluate, treat, and re-evaluate response to treatment of nutritional deficiencies. Because a better nutritional state is associated with better survival before and after liver transplantation, aggressive nutritional management is an important part of the care of these children.

引用

页码：1161 / +

页数：24

共 102 条

[1]

Als-Nielsen B., 2003, COCHRANE DB SYST REV, V2, DOI DOI 10.1002/14651858.CD001939

[2] VITAMIN-A RELATIVE DOSE-RESPONSE TEST - VALIDATION BY INTRAVENOUS-INJECTION IN CHILDREN WITH LIVER-DISEASE [J].