Puri Pankaj, Dhiman Radha K, Taneja Sunil, Tandon Puneeta, Merli Manuela, Anand Anil C, Arora Anil, Acharya Subrat K, Benjamin Jaya, Chawla Yogesh K, Dadhich Sunil, Duseja Ajay, Eapan C E, Goel Amit, Kalra Naveen, Kapoor Dharmesh, Kumar Ashish, Madan Kaushal, Nagral Aabha, Pandey Gaurav, Rao Padaki N, Saigal Sanjiv, Saraf Neeraj, Saraswat Vivek A, Saraya Anoop, Sarin Shiv K, Sharma Praveen, Shukla Akash, Sidhu Sandeep S, Singh Namrata, Singh Shivaram P, Srivastava Anshu, Wadhawan Manav
Fortis Escorts Liver & Digestive Diseases Institute, New Delhi, 110025, India.
Department of Hepatobiliary Sciences, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.
J Clin Exp Hepatol. 2021 Jan-Feb;11(1):97-143. doi: 10.1016/j.jceh.2020.09.003. Epub 2020 Oct 1.
Malnutrition and sarcopenia are common in patients with chronic liver disease and are associated with increased risk of decompensation, infections, wait-list mortality and poorer outcomes after liver transplantation. Assessment of nutritional status and management of malnutrition are therefore essential to improve outcomes in patients with chronic liver disease. This consensus statement of the Indian National Association for Study of the Liver provides a comprehensive review of nutrition in chronic liver disease and gives recommendations for nutritional screening and treatment in specific clinical scenarios of malnutrition in cirrhosis in adults as well as children with chronic liver disease and metabolic disorders.
营养不良和肌肉减少症在慢性肝病患者中很常见,并且与失代偿、感染、等待名单上的死亡率增加以及肝移植后较差的预后相关。因此,评估营养状况和管理营养不良对于改善慢性肝病患者的预后至关重要。印度国家肝脏研究协会的这份共识声明全面回顾了慢性肝病中的营养问题,并针对成人肝硬化以及患有慢性肝病和代谢紊乱的儿童营养不良的特定临床情况给出了营养筛查和治疗建议。