肝移植患者的营养优化:从移植前环境到移植后的结果
1Institute of Liver Studies, King's College Hospital, London, UK.
Acta gastro-enterologica Belgica
|July 10, 2023
概括
在等待肝移植 (LT) 的患者中优化营养可能会改善结果. 然而,专门的饮食还没有显示出比标准支持更明显的好处,未来的策略可能包括炼和ERAS协议.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 移植医学 移植医学
- 临床营养学 临床营养学
背景情况:
- 在肝移植候选人中,营养不良,肉类和虚弱是常见的.
- 这些情况增加了肝移植前后并发症和死亡的风险.
- 优化营养状况对于改善移植获取和结果至关重要.
研究的目的:
- 审查营养优化对等待肝移植的患者结果的影响.
- 评估专门营养方案的有效性,包括免疫增强和分支链氨基酸增强的饮食.
- 讨论阻碍特殊饮食受益的障碍,并提出未来的战略.
主要方法:
- 对肝移植候选人的营养干预现有研究的审查.
- 关于研究和临床实践当前状况的专家意见.
- 分析导致特殊饮食缺乏证明的益处的因素.
主要成果:
- 有限的研究存在于专门营养方案的有效性.
- 目前的证据表明,专门的饮食并没有始终超过标准的营养支持.
- 从专业制度中获得好处的障碍需要进一步调查.
结论:
- 营养优化有望改善肝移植结果.
- 专门的饮食需要进一步的研究来证明明显的优势.
- 未来的改进可能包括将营养支持与运动和手术后增强恢复 (ERAS) 协议相结合.
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