Document Detail

Nutrition assessment and management in advanced liver disease.
MedLine Citation:
PMID:  23319353     Owner:  NLM     Status:  In-Data-Review    
Malnutrition commonly complicates the course of patients with cirrhosis and has a multifactorial etiology. Despite the important role that nutrition plays in the prognosis of those with cirrhosis, the nutrition assessment process can be challenging in this setting. A number of tools are available to aid in the nutrition assessment of the cirrhotic patient; however, none are without limitations. Although the assessment process can be difficult, the ability to properly manage the nutrient needs of the patient presents an additional set of challenges because of the catabolic nature of the disease process and common occurrence of anorexia and other symptoms leading to poor oral intake. In this review, the nutrition assessment tools and general guidelines for nutrition management in patients with advanced liver disease are discussed to promote recognition of the nutrition issues affecting this patient population and lead to their improved survival and reduced morbidity.
Tammy M Johnson; Erin B Overgard; Ashley E Cohen; John K Dibaise
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition     Volume:  28     ISSN:  1941-2452     ISO Abbreviation:  Nutr Clin Pract     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606733     Medline TA:  Nutr Clin Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-29     Citation Subset:  IM; N    
Tammy M. Johnson, CNSC, Department of Food/Nutrition, Mayo Clinic in Arizona, 5777 E. Mayo Blvd, Phoenix, AZ 85054, USA. Email:
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