Enteral Nutrition in Chronic Liver Disease
Malnutrition is prevalent in individuals with chronic liver disease and occurs as a result of inadequate nutrient intake, altered metabolism, and malabsorption. Although limited data show benefits of enteral nutrition (EN) in this population, patients with chronic liver disease often have inadequate...
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Veröffentlicht in: | Nutrition in clinical practice 2015-08, Vol.30 (4), p.474-487 |
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description | Malnutrition is prevalent in individuals with chronic liver disease and occurs as a result of inadequate nutrient intake, altered metabolism, and malabsorption. Although limited data show benefits of enteral nutrition (EN) in this population, patients with chronic liver disease often have inadequate oral intake and are potential candidates for EN. The goals of the EN, type and severity of liver disease, and access for EN will influence the decision to initiate EN. This paper summarizes EN studies in patients with liver disease and provides practical tips regarding patient selection, EN access, and EN formula choices. Two case studies illustrate the principles and challenges of providing EN to patients with cirrhosis. The paper concludes with suggested parameters for an EN feeding protocol and recommendations for future research. |
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Although limited data show benefits of enteral nutrition (EN) in this population, patients with chronic liver disease often have inadequate oral intake and are potential candidates for EN. The goals of the EN, type and severity of liver disease, and access for EN will influence the decision to initiate EN. This paper summarizes EN studies in patients with liver disease and provides practical tips regarding patient selection, EN access, and EN formula choices. Two case studies illustrate the principles and challenges of providing EN to patients with cirrhosis. 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Although limited data show benefits of enteral nutrition (EN) in this population, patients with chronic liver disease often have inadequate oral intake and are potential candidates for EN. The goals of the EN, type and severity of liver disease, and access for EN will influence the decision to initiate EN. This paper summarizes EN studies in patients with liver disease and provides practical tips regarding patient selection, EN access, and EN formula choices. Two case studies illustrate the principles and challenges of providing EN to patients with cirrhosis. The paper concludes with suggested parameters for an EN feeding protocol and recommendations for future research.</description><subject>end‐stage liver disease</subject><subject>enteral nutrition</subject><subject>liver cirrhosis</subject><subject>liver diseases</subject><subject>malnutrition</subject><subject>nutrition therapy</subject><issn>0884-5336</issn><issn>1941-2452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNpdj7tKxEAUQAdRMK72lqmF6L07d16lxPUBYRW0HybzwJGYlUlU9u8laGV1igMHDmPnCJeISl2B1iQ4lyiEQRD6gFVoCJs1ifUhqxbdLP6YnUzTGwBqrnTFLjbjHIsb6u3nXPKcd2Odx7p9Lbsx-7rLX7HUN3mKboqn7Ci5YYpnf1yx59vNS3vfdI93D-1113jDqZHolDQx9BGE8KAS5ySlp4BgAhEldIJS6L1zQQWuMAWIOvbB-CBT4CsmfqvfeYh7-1Hyuyt7i2CXTft_027bJyBF_AfZN0aa</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Hasse, Jeanette M.</creator><creator>DiCecco, Sara R.</creator><general>SAGE Publications</general><scope/></search><sort><creationdate>201508</creationdate><title>Enteral Nutrition in Chronic Liver Disease</title><author>Hasse, Jeanette M. ; DiCecco, Sara R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c934-61a769edbe055c07f33466c4d109d444f1a54fdbcaad7d371fd0e8ebd9cd6fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>end‐stage liver disease</topic><topic>enteral nutrition</topic><topic>liver cirrhosis</topic><topic>liver diseases</topic><topic>malnutrition</topic><topic>nutrition therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasse, Jeanette M.</creatorcontrib><creatorcontrib>DiCecco, Sara R.</creatorcontrib><jtitle>Nutrition in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasse, Jeanette M.</au><au>DiCecco, Sara R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enteral Nutrition in Chronic Liver Disease</atitle><jtitle>Nutrition in clinical practice</jtitle><date>2015-08</date><risdate>2015</risdate><volume>30</volume><issue>4</issue><spage>474</spage><epage>487</epage><pages>474-487</pages><issn>0884-5336</issn><eissn>1941-2452</eissn><abstract>Malnutrition is prevalent in individuals with chronic liver disease and occurs as a result of inadequate nutrient intake, altered metabolism, and malabsorption. Although limited data show benefits of enteral nutrition (EN) in this population, patients with chronic liver disease often have inadequate oral intake and are potential candidates for EN. The goals of the EN, type and severity of liver disease, and access for EN will influence the decision to initiate EN. This paper summarizes EN studies in patients with liver disease and provides practical tips regarding patient selection, EN access, and EN formula choices. Two case studies illustrate the principles and challenges of providing EN to patients with cirrhosis. The paper concludes with suggested parameters for an EN feeding protocol and recommendations for future research.</abstract><cop>Sage CA: Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/0884533615591058</doi><tpages>14</tpages></addata></record> |
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subjects | end‐stage liver disease enteral nutrition liver cirrhosis liver diseases malnutrition nutrition therapy |
title | Enteral Nutrition in Chronic Liver Disease |
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