Cirrhosis

S. Honigbaum, J. Lucas, Kathleen Schwarz

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Cirrhotic patients are at risk for multiple nutrient deficiencies because of poor appetite and malabsorption of fats, fat-soluble vitamins, proteins, and some minerals. They exhibit disturbed metabolism of all major nutrients, and the resulting malnutrition correlates with poor outcomes. Unfortunately, aggressive attempts to improve nutritional status have generally not improved the outcomes, with the exception of some studies of branched-chain amino acids for chronic hepatic encephalopathy and increased survival in select patients receiving parenteral nutrition. A cost-effective, practical approach is warranted to meet the nutritional requirements of the cirrhotic patient in the most acceptable and least invasive means possible.

Original languageEnglish (US)
Title of host publicationEncyclopedia of Food and Health
PublisherElsevier Inc.
Pages129-135
Number of pages7
ISBN (Electronic)9780123849533
ISBN (Print)9780123849472
DOIs
StatePublished - Sep 14 2015

Keywords

  • Aromatic amino acids
  • Bile salts
  • Branched-chain amino acids
  • Carbohydrates
  • Cholestasis
  • End-stage liver disease
  • Fat-soluble vitamins
  • Hyperammonemia
  • Hypoglycemia
  • Lipids
  • Liver transplantation
  • Malabsorption
  • Medium-chain triglycerides
  • Protein
  • Steatorrhea

ASJC Scopus subject areas

  • Medicine(all)

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