Back to Search
Start Over
Nutrition therapy: Integral part of liver transplant care.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2016 Jan 28; Vol. 22 (4), pp. 1513-22. - Publication Year :
- 2016
-
Abstract
- Managing malnutrition before liver transplantation (LTx) while on the waiting list and, excessive weight gain/metabolic disturbances in post-surgery are still a challenge in LTx care. The aim of this review is to support an interdisciplinary nutrition approach of these patients. Cirrhotic patients are frequently malnourished before LTx and this is associated with a poor prognosis. Although the relation between nutritional status versus survival, successful operation and recovery after LTx is well established, prevalence of malnutrition before the operation is still very high. Emerging research has also demonstrated that sarcopenia pre and post-transplant is highly prevalent, despite the weight gain in the postoperative period. The diagnosis of the nutritional status is the first step to address the adequate nutritional therapy. Nutritional recommendations and therapy to manage the nutritional status of LTx patients are discussed in this review, regarding counseling on adequate diets and findings of the latest research on using certain immunonutrients in these patients (branched chain amino-acids, pre and probiotics). Nutrition associated complications observed after transplantation is also described. They are commonly related to the adverse effects of immunosuppressive drugs, leading to hyperkalemia, hyperglycemia and weight gain. Excessive weight gain and post-transplant metabolic disorders have long been described in post-LTx and should be addressed in order to reduce associated morbidity and mortality.
- Subjects :
- End Stage Liver Disease complications
End Stage Liver Disease diagnosis
End Stage Liver Disease physiopathology
Humans
Immunosuppressive Agents adverse effects
Malnutrition diagnosis
Malnutrition etiology
Malnutrition physiopathology
Postoperative Complications etiology
Postoperative Complications prevention & control
Recovery of Function
Risk Factors
Time Factors
Treatment Outcome
Weight Gain
End Stage Liver Disease surgery
Liver Transplantation adverse effects
Malnutrition therapy
Nutrition Therapy adverse effects
Nutritional Status
Subjects
Details
- Language :
- English
- ISSN :
- 2219-2840
- Volume :
- 22
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 26819518
- Full Text :
- https://doi.org/10.3748/wjg.v22.i4.1513