Total parenteral nutrition: challenges and practice in the cirrhotic patient.
Transplant Proc
; 38(6): 1659-63, 2006.
Article
em En
| MEDLINE
| ID: mdl-16908240
ABSTRACT
Patients with cirrhosis develop metabolic derangements of protein, carbohydrate, and lipid metabolism. Malnutrition is commonplace and is associated with morbidity and mortality. Specific nutrient deficiencies may occur and enteral or parenteral nutritional support may improve outcome in appropriately selected patients. Parenteral nutrition itself has been associated with hepatic dysfunction, although the preponderance of evidence suggests that hepatic dysfunction is more a function of the underlying disorder and malabsorption. Intravenously infused organic nutrients may be metabolized differently than the same nutrient consumed enterally. The pathophysiology of total parenteral nutrition-associated liver disease is discussed as well as potential management options.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Nutrição Parenteral Total
/
Cirrose Hepática
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Revista:
Transplant Proc
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos