EASL慢性肝病营养临床实践指南

StephenW

EASL Clinical Practice Guidelines on nutrition in chronic liver disease
Author links open overlay panelEuropean Association for the Study of the Liver
https://doi.org/10.1016/j.jhep.2018.06.024
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Summary

A frequent complication in liver cirrhosis is malnutrition, which is associated with the progression of liver failure, and with a higher rate of complications including infections, hepatic encephalopathy and ascites. In recent years, the rising prevalence of obesity has led to an increase in the number of cirrhosis cases related to non-alcoholic steatohepatitis. Malnutrition, obesity and sarcopenic obesity may worsen the prognosis of patients with liver cirrhosis and lower their survival. Nutritional monitoring and intervention is therefore crucial in chronic liver disease. These Clinical Practice Guidelines review the present knowledge in the field of nutrition in chronic liver disease and promote further research on this topic. Screening, assessment and principles of nutritional management are examined, with recommendations provided in specific settings such as hepatic encephalopathy, cirrhotic patients with bone disease, patients undergoing liver surgery or transplantation and critically ill cirrhotic patients.

StephenW

EASL慢性肝病营养临床实践指南
作者链接公开覆盖面板欧洲肝脏研究协会
https://doi.org/10.1016/j.jhep.2018.06.024
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摘要

肝硬化的常见并发症是营养不良，这与肝功能衰竭的进展有关，并且并发症的发生率较高，包括感染，肝性脑病和腹水。近年来，肥胖症患病率的上升导致与非酒精性脂肪性肝炎相关的肝硬化病例数量增加。营养不良，肥胖和肌肉减少性肥胖可能会恶化肝硬化患者的预后并降低其生存率。因此，营养监测和干预对慢性肝病至关重要。这些临床实践指南回顾了慢性肝病营养领域的现有知识，并促进对该主题的进一步研究。检查营养管理的筛查，评估和原则，并在特定环境中提供建议，如肝性脑病，肝病患者骨病，接受肝脏手术或移植的患者和重症肝硬化患者。

StephenW

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