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[Nutritional evaluation in cirrhotic patients].

E Strauss1, H K Massuda

  • 1Clínica de Gastroenterologia, Hospital Heliópolis, São Paulo.

Arquivos De Gastroenterologia
|October 1, 1986
PubMed
Summary

Nutritional deficiencies are common in cirrhotic patients, affecting energy stores, muscle mass, and visceral protein levels. Early nutritional assessment is crucial for managing hepatic cirrhosis and improving patient outcomes.

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Area of Science:

  • Hepatology
  • Clinical Nutrition
  • Biochemistry

Context:

  • Hepatic cirrhosis significantly impacts patient diagnosis, prognosis, and treatment.
  • Nutritional status is a critical factor in managing chronic liver disease.
  • Nutritional support is increasingly recognized as a therapeutic intervention.

Purpose:

  • To evaluate the nutritional status of patients with hepatic cirrhosis.
  • To assess both anthropometric and laboratory markers of nutritional deficiency.
  • To discuss the interpretation of various nutritional evaluation methods in chronic liver disease.

Summary:

  • Nutritional evaluation of 32 cirrhotic patients utilized anthropometric measures (triceps skinfold, arm muscular circumference) and laboratory data (creatinine/height index, serum albumin, transferrin, lymphocyte count).
  • Results indicated severe depletion in non-caloric stores (81%), muscular stores (37.5-43.7%), and visceral protein stores (10-15%).
  • Immunological status also showed depletion in 10-15% of patients.

Impact:

  • Highlights the high prevalence of malnutrition in hepatic cirrhosis.
  • Emphasizes the importance of comprehensive nutritional assessment in cirrhotic patients.
  • Underscores the role of nutrition in the therapeutic approach to chronic liver disease.

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