Nutritional Supplementation for Patients with Decompensated Cirrhosis

被引：1

作者：

Vidot H. ^{[1
]}

Shackel N.A. ^{[2
]}

机构：

[1] Department Nutrition and Dietetics, Royal Prince Alfred Hospital, Camperdown, 2050, NSW

[2] The Anzac Research Institute, Hospital Road, Concord, 2139, NSW

来源：

Current Hepatology Reports | 2021年 / 20卷 / 2期

关键词：

Decompensated cirrhosis; Hepatic encephalopathy; Malnutrition; Muscle cramps; Muscle wasting;

D O I：

10.1007/s11901-021-00561-1

中图分类号：

学科分类号：

摘要：

Purpose of Review: Malnutrition is common in patients with decompensated cirrhosis and portal hypertension and is associated with impaired health-related quality of life and reduced survival. This review aims to explore the outcomes of specific nutritional interventions in the management of malnourished patients with decompensated cirrhosis. Recent Findings: Nutritional assessment and intervention is an important adjunct in the management of decompensated cirrhosis. Nutrition support in patients with decompensated cirrhosis can preserve muscle mass and alleviate the manifestations of decompensation including ascites, hepatic encephalopathy and muscle cramps. Summary: Addressing nutritional deficiencies in cirrhosis is integral to the care of these patients. Current nutritional management strategies and targeted supplementation in decompensated cirrhosis can improve symptoms of decompensation and quality of life as well as improve patient survival. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.

引用

页码：53 / 60

页数：7

共 68 条

[11]

Alberino F., Gattta A., Amodio P., Et al., Nutrition and survival in patients with liver cirrhosis, Nutrition, 17, pp. 445-450, (2001)

[12]

Plauth M., Bernal W., Dasarathy S., Merli M., Plank L., Schutz T., Bischoff S., ESPEN guideline on clinical nutrition in liver disease, Clin Nutr, 38, pp. 220-275, (2019)

[13]

Montano-Loza A.J., Meza-Junco J., Prado C.M.M., Lieffers J.R., Baracos V.E., Bain V.G., Sawyer M.B., Muscle wasting is associated with mortality in patients with cirrhosis, Clin Gastroenterol Hepatol, 10, pp. 166-173, (2012)

[14]

Bunchorntavakul C., Reddy K.J., Review article: malnutrition/sarcopenia and frailty in patients with cirrhosis, Aliment Pharmacol Ther, 51, pp. 64-77, (2019)

[15]

Dasarathy S., Etiology and Management of muscle wasting in chronic liver disease, Curr Opin Gastroenterol, 32, pp. 59-165, (2016)

[16]

Calmet F., Martin P., Pearlman M., Nutrition in patients with cirrhosis, Gastroenterol Hepatol (NY), 15, pp. 248-254, (2019)

[17]

Hasse J., Strong S., Gorman M.A., Liepa G., Subjective global assessment: Alternative nutrition-assessment technique for liver-transplant candidates, Nutrition, 9, pp. 339-343, (1993)

[18]

Morgan M.Y., Madden A.M., Soulsby C.T., Morris R.W., Derivation and validation of a new global method for assessing nutritional status in patients with cirrhosis, Hepatology, 44, pp. 823-835, (2006)

[19]

Vidot H., Kline K., Cheng R., Finegan L., Lin A., Kempler E., Strasser S., Bowen D., McCaughan G., Carey S., Allman-Farinelli M., Shackel N., The relationship of obesity, nutritional status and muscle wasting in patients assessed for liver transplantation, Nutrients, 11, (2019)

[20]

Eslamparast T., Montano-Loza A., Raman M., Tandon P., Sarcopenic obesity in cirrhosis – The confluence of 2 prognostic titans, Liver Int, 38, pp. 1706-1717, (2018)

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