Nutritional Therapy in Liver Transplantation
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...
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2017-10-01
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doaj-11a51a16deb345eb8cb934a276e056e12020-11-25T02:17:55ZengMDPI AGNutrients2072-66432017-10-01910112610.3390/nu9101126nu9101126Nutritional Therapy in Liver TransplantationAhmed Hammad0Toshimi Kaido1Vusal Aliyev2Claudia Mandato3Shinji Uemoto4Division of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, JapanDivision of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, JapanDivision of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, JapanL’AORN Children’s Hospital Santobono and Pausilipon, Napoli 80122, ItalyDivision of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, JapanProtein-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.https://www.mdpi.com/2072-6643/9/10/1126liver transplantationimmunonutritionsynbioticsnutritional interventionsarcopeniabranched-chain amino acidsnutraceuticals |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmed Hammad Toshimi Kaido Vusal Aliyev Claudia Mandato Shinji Uemoto |
spellingShingle |
Ahmed Hammad Toshimi Kaido Vusal Aliyev Claudia Mandato Shinji Uemoto Nutritional Therapy in Liver Transplantation Nutrients liver transplantation immunonutrition synbiotics nutritional intervention sarcopenia branched-chain amino acids nutraceuticals |
author_facet |
Ahmed Hammad Toshimi Kaido Vusal Aliyev Claudia Mandato Shinji Uemoto |
author_sort |
Ahmed Hammad |
title |
Nutritional Therapy in Liver Transplantation |
title_short |
Nutritional Therapy in Liver Transplantation |
title_full |
Nutritional Therapy in Liver Transplantation |
title_fullStr |
Nutritional Therapy in Liver Transplantation |
title_full_unstemmed |
Nutritional Therapy in Liver Transplantation |
title_sort |
nutritional therapy in liver transplantation |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2017-10-01 |
description |
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. |
topic |
liver transplantation immunonutrition synbiotics nutritional intervention sarcopenia branched-chain amino acids nutraceuticals |
url |
https://www.mdpi.com/2072-6643/9/10/1126 |
work_keys_str_mv |
AT ahmedhammad nutritionaltherapyinlivertransplantation AT toshimikaido nutritionaltherapyinlivertransplantation AT vusalaliyev nutritionaltherapyinlivertransplantation AT claudiamandato nutritionaltherapyinlivertransplantation AT shinjiuemoto nutritionaltherapyinlivertransplantation |
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