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Nutritional Therapy in Liver Transplantation.
Ahmed Hammad1,2, Toshimi Kaido3, Vusal Aliyev4
1Division of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. ahmedhammad2005@yahoo.com.
Nutrients
|October 17, 2017
Summary
Optimizing nutrition is crucial for liver transplant recipients suffering from protein-energy malnourishment. Perioperative nutritional interventions, including oral and enteral support, improve outcomes for these patients.
Area of Science:
- Hepatology
- Transplantation Medicine
- Clinical Nutrition
Background:
- Protein-energy malnourishment is prevalent in end-stage liver disease (ESLD) patients awaiting liver transplantation.
- Malnutrition exacerbates post-transplant morbidity, mortality, and healthcare costs.
- Liver failure-induced metabolic abnormalities complicate standard nutritional status assessment, particularly sarcopenia (skeletal muscle mass loss).
Purpose of the Study:
- To review current perioperative nutritional interventions for liver transplant recipients.
- To highlight the importance of nutritional assessment and support throughout the liver transplantation process.
Main Methods:
- Comprehensive review of the latest perioperative nutritional interventions.
- Discussion of various nutritional strategies, including oral and enteral nutrition.
- Inclusion of synbiotics, micronutrients, branched-chain amino acids, and immunonutrition formulas.
Main Results:
- Sarcopenia significantly impacts post-transplant outcomes.
- Sufficient nutritional support, prioritizing oral intake but including tube enteral nutrition when necessary, is essential.
- Various interventions like dietary counseling, exercise, and rehabilitation are discussed.
Conclusions:
- Perioperative nutritional support is vital for improving outcomes in liver transplant recipients.
- A multimodal approach encompassing dietary interventions, supplementation, and rehabilitation is recommended.
- Addressing malnutrition and sarcopenia pre- and post-transplant is critical for patient recovery.