文章基本信息

标题：Nutritional Therapy in Liver Transplantation
本地全文：下载
作者：Ahmed Hammad ; Toshimi Kaido ; Vusal Aliyev 等
期刊名称：Nutrients
电子版ISSN：2072-6643
出版年度：2017
卷号：9
期号：10
页码：1126
DOI：10.3390/nu9101126
语种：English
出版社：MDPI Publishing
摘要：Protein-energy malnourishment is commonly encountered in patients with end-stage liver disease who undergo liver transplantation. Malnutrition may further increase morbidity, mortality and costs in the post-transplantation setting. The importance of carefully assessing the nutritional status during the work-up of patients who are candidates for liver replacement is widely recognized. The metabolic abnormalities induced by liver failure render the conventional assessment of nutritional status to be challenging. Preoperative loss of skeletal muscle mass, namely, sarcopenia, has a significant detrimental impact on post-transplant outcomes. It is essential to provide sufficient nutritional support during all phases of liver transplantation. Oral nutrition is preferred, but tube enteral nutrition may be required to provide the needed energy intake. Herein, the latest currently employed perioperative nutritional interventions in liver transplant recipients are thoroughly illustrated including synbiotics, micronutrients, branched-chain amino acid supplementation, immunonutrition formulas, fluid and electrolyte balance, the offering of nocturnal meals, dietary counselling, exercise and rehabilitation.
关键词：liver transplantation; immunonutrition; synbiotics; nutritional intervention; sarcopenia; branched-chain amino acids; nutraceuticals liver transplantation ; immunonutrition ; synbiotics ; nutritional intervention ; sarcopenia ; branched-chain amino acids ; nutraceuticals