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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/39525
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dc.creatorLucilene Rezende Anastáciopt_BR
dc.creatorMaria Isabel Toulson Davisson Correiapt_BR
dc.date.accessioned2022-02-21T19:09:32Z-
dc.date.available2022-02-21T19:09:32Z-
dc.date.issued2016-
dc.citation.volume22pt_BR
dc.citation.issue4pt_BR
dc.citation.spage1513pt_BR
dc.citation.epage1523pt_BR
dc.identifier.doi10.3748/wjg.v22.i4.1513pt_BR
dc.identifier.issn10079327pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/39525-
dc.description.resumoManaging malnutrition before liver transplantation (LTx) while on the waiting list and, excessive weight gain/metabolic disturbances in post-surgery are still a challenge in LTx care. The aim of this review is to support an interdisciplinary nutrition approach of these patients. Cirrhotic patients are frequently malnourished before LTx and this is associated with a poor prognosis. Although the relation between nutritional status versus survival, successful operation and recovery after LTx is well established, prevalence of malnutrition before the operation is still very high. Emerging research has also demonstrated that sarcopenia pre and post-transplant is highly prevalent, despite the weight gain in the postoperative period. The diagnosis of the nutritional status is the first step to address the adequate nutritional therapy. Nutritional recommendations and therapy to manage the nutritional status of LTx patients are discussed in this review, regarding counseling on adequate diets and findings of the latest research on using certain immunonutrients in these patients (branched chain amino-acids, pre and probiotics). Nutrition associated complications observed after transplantation is also described. They are commonly related to the adverse effects of immunosuppressive drugs, leading to hyperkalemia, hyperglycemia and weight gain. Excessive weight gain and post-transplant metabolic disorders have long been described in post-LTx and should be addressed in order to reduce associated morbidity and mortality.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentFAR - DEPARTAMENTO DE ALIMENTOSpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofWorld Journal of Gastroenterologypt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectNutritional statuspt_BR
dc.subjectMalnutritionpt_BR
dc.subjectObesitypt_BR
dc.subjectMetabolic syndromept_BR
dc.subjectNutrition therapypt_BR
dc.subjectLiver transplantationpt_BR
dc.subject.otherTerapia nutricionalpt_BR
dc.subject.otherTransplante de fígadopt_BR
dc.titleNutrition therapy: integral part of liver transplant carept_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721984/pdf/WJG-22-1513.pdfpt_BR
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