Nutrition Assessment and Support in Children With End-Stage Liver Disease

作者：Young Sona; Kwarta Elizabeth; Azzam Ruba; Sentongo Timothy^*

来源：Nutrition in Clinical Practice, 2013, 28(3): 317-329.

DOI：10.1177/0884533612474043

• pediatrics
• liver diseases
• nutrition assessment
• vitamins
• end-stage liver disease
• nutritional status
• nutritional support
• enteral nutrition
• growth

Malnutrition is a treatable complication in children with end-stage liver disease (ESLD). Biliary atresia and other cholestatic disorders are the most frequent cause of ESLD in children. No single variable provides adequate information about nutrition status, yet effective nutrition support is the one intervention known to improve pre- and posttransplant outcomes. A proactive approach consisting of screening anthropometry interpreted using appropriate growth references, recognition of clinical manifestations associated with micronutrient deficiency, and timely aggressive nutrition support is of a paramount importance to maximize anabolism and optimize outcomes. This article presents the principles of nutrition assessment, intervention, and monitoring in children with ESLD. (Nutr Clin Pract. 2013; 28: 317-329)

• 出版日期2013-6