[Nutrition in Liver Cirrhosis: Clinical Practice Recommendations].

Abstract

Liver disease and nutritional status affect each other mutually. Hepatic function is impaired by malnutrition and can be improved by nutrition therapy. Liver cirrhosis leads to prognostically relevant malnutrition in a stage dependent manner. Protein depletion and sarcopenia are its key features. Patients with liver cirrhosis should undergo systematic screening for risk of malnutrition and if positive sarcopenia should be assessed and a nutrition plan devised. In cirrhotic patients, spontaneous food intake frequently does not meet requirements and prolonged (> 12 h) periods of fasting must be avoided. In a stepwise fashion nutritional counseling, oral nutritional supplements, enteral tube feeding and parenteral nutrition as third-line-therapy should be used. In cirrhotic patients, nutrition therapy can improve morbidity and mortality by ensuring the adequate provision of energy, protein and micronutrients.

• Authors: Mathias Plauth
• Journal: Deutsche medizinische Wochenschrift (1946) (Dtsch Med Wochenschr) Vol. 144 Issue 18 Pg. 1267-1274 (09 2019) ISSN: 1439-4413 [Electronic] Germany
• Vernacular Title: Ernährung bei Leberzirrhose: wichtige Tipps für Klinik und Praxis.
• PMID: 31514217 (Publication Type: Journal Article)
• Copyright: © Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Humans
• Liver Cirrhosis (diet therapy, physiopathology)
• Liver Transplantation
• Malnutrition
• Nutritional Support
• Practice Guidelines as Topic
• Sarcopenia