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TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
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Nutrition Management of Acute Postliver Transplant Recipients
1Department of Food and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India.
Summary
Nutritional intake, including calories and protein, is significantly lower in patients during the acute phase after liver transplant (LT). This highlights the need for aggressive, patient-centered nutrition management strategies post-LT.
Area of Science:
- Hepatology
- Transplant Surgery
- Clinical Nutrition
Background:
- The acute phase following liver transplantation (LT) is marked by hypermetabolism and elevated nutritional demands.
- Optimal nutrition management is crucial for recovery but data in this phase is limited.
Purpose of the Study:
- To document nutritional progression in adult patients during the acute post-liver transplant phase.
- To establish baseline data for developing targeted nutrition interventions.
Main Methods:
- An exploratory study involving 54 adult liver transplant recipients.
- Data collected included patient stay, weight, biochemical markers, and feeding routes.
- Nutrient intake was assessed using 24-hour dietary recalls.
Main Results:
- Patients showed decreased hemoglobin, platelets, and albumin, with elevated liver enzymes and bilirubin.
- A significant decline in body weight was observed post-LT.
- Calorie, protein, and fat intake were significantly below recommended levels, with inadequate nutrient adequacy across the board.
- Parenteral nutrition decreased while oral intake increased from postoperative days 2-12.
Conclusions:
- There is a significant lack of data regarding nutrition management in the acute post-liver transplant period.
- This study provides essential data to inform the development of continuous, patient-focused nutrition interventions for acute post-LT care.
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