Nutritional issues in cirrhosis and liver transplantation
作者:
Eduard Cabré,
Miquel Gassull,
期刊:
Current Opinion in Clinical Nutrition and Metabolic Care
(OVID Available online 1999)
卷期:
Volume 2,
issue 5
页码: 373-380
ISSN:1363-1950
年代: 1999
出版商: OVID
数据来源: OVID
摘要:
In the past year, some relevant papers on the mechanisms of malnutrition in cirrhosis have been published. Studies investigating the metabolic destiny of leucine after protein breakdown, which have contributed to a better understanding of the pathogenesis of muscle wasting and fat depletion in these patients, deserve particular mention. Also, the demonstration that chronically reducing hyperinsulinaemia in cirrhosis is able to improve insulin sensitivity opens novel pathogenic and therapeutic perspectives for such a metabolic derangement in these patients. Other papers dealt with unsaturated lipids, lipoperoxidation and antioxidants in chronic liver disease. However, randomized trials on parenteral or enteral nutrition in cirrhosis and liver transplantation are missing.
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