Deeb Aladdin Ali, Rauchfuß Falk, Settmacher Utz
Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.
Chirurgie (Heidelb). 2024 Aug;95(8):632-637. doi: 10.1007/s00104-024-02111-z. Epub 2024 Jun 3.
Sarcopenia and sarcopenic obesity worsen the prognosis after liver transplantation; however, the assessment of body composition is not yet considered in the evaluation prior to liver transplantation to estimate the risk profile of the recipient. Prehabilitation, which includes the nutritional supplementation and physiotherapy, represents a recent focus of interest in clinical transplantation research. This article gives an overview of the recent knowledge about the role of the musculoadipose status and the available methods for the estimation in the assessment of the recipient's risk profile.
肌肉减少症和肌肉减少性肥胖会使肝移植后的预后恶化;然而,在肝移植前的评估中尚未考虑身体成分的评估,以估计受者的风险状况。包括营养补充和物理治疗在内的预康复是临床移植研究中最近关注的焦点。本文概述了有关肌肉脂肪状态的作用以及评估受者风险状况时可用的估计方法的最新知识。