Assessment of nutritional status of patients with end-stage liver disease undergoing liver transplantation

S. R. DiCecco, E. J. Wieners, R. H. Wiesner, P. A. Southorn, D. J. Plevak, R. A F Krom

Research output: Contribution to journalArticle

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Abstract

Nutritional assessment factors (including dietary history, anthropometric and biochemical measurements, and evaluation of immunocompetence) were retrospectively reviewed in 74 patients undergoing an initial liver transplantation procedure. The patients were subdivided into four categories on the basis of type of liver disease: chronic active hepatitis (N = 24), primary sclerosing cholangitis (N = 22), primary biliary cirrhosis (N = 20), and acute or subacute hepatitis (N = 8). Our nutritional assessment data indicated that malnutrition was present preoperatively in all liver transplantation groups but that each group had distinct characteristics. The group with primary biliary cirrhosis seemed to have the best hepatic synthetic function despite extreme wasting of muscle and fat. On the basis of all criteria, the group with acute hepatitis was the most malnourished of the various disease groups. Aggressive nutritional support, which includes adequate intake of nutrients and supplementation of vitamins and trace minerals, should be encouraged for all potential liver transplant patients.

Original languageEnglish (US)
Pages (from-to)95-102
Number of pages8
JournalMayo Clinic Proceedings
Volume64
Issue number1
StatePublished - 1989
Externally publishedYes

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End Stage Liver Disease
Nutritional Status
Liver Transplantation
Nutrition Assessment
Biliary Liver Cirrhosis
Hepatitis
Immunocompetence
Sclerosing Cholangitis
Nutritional Support
Liver
Trace Elements
Chronic Hepatitis
Vitamins
Malnutrition
Liver Diseases
Fats
Transplants
Food
Muscles

ASJC Scopus subject areas

  • Medicine(all)

Cite this

DiCecco, S. R., Wieners, E. J., Wiesner, R. H., Southorn, P. A., Plevak, D. J., & Krom, R. A. F. (1989). Assessment of nutritional status of patients with end-stage liver disease undergoing liver transplantation. Mayo Clinic Proceedings, 64(1), 95-102.

Assessment of nutritional status of patients with end-stage liver disease undergoing liver transplantation. / DiCecco, S. R.; Wieners, E. J.; Wiesner, R. H.; Southorn, P. A.; Plevak, D. J.; Krom, R. A F.

In: Mayo Clinic Proceedings, Vol. 64, No. 1, 1989, p. 95-102.

Research output: Contribution to journalArticle

DiCecco, SR, Wieners, EJ, Wiesner, RH, Southorn, PA, Plevak, DJ & Krom, RAF 1989, 'Assessment of nutritional status of patients with end-stage liver disease undergoing liver transplantation', Mayo Clinic Proceedings, vol. 64, no. 1, pp. 95-102.
DiCecco SR, Wieners EJ, Wiesner RH, Southorn PA, Plevak DJ, Krom RAF. Assessment of nutritional status of patients with end-stage liver disease undergoing liver transplantation. Mayo Clinic Proceedings. 1989;64(1):95-102.
DiCecco, S. R. ; Wieners, E. J. ; Wiesner, R. H. ; Southorn, P. A. ; Plevak, D. J. ; Krom, R. A F. / Assessment of nutritional status of patients with end-stage liver disease undergoing liver transplantation. In: Mayo Clinic Proceedings. 1989 ; Vol. 64, No. 1. pp. 95-102.
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