Malnutrition and Nutritional Support in Alcoholic Liver Disease: a Review

Andrew Chao¹, Dan Waitzberg², Rosangela Passos de Jesus³, Allain A Bueno⁴, Victor Kha⁵, Karen Allen⁵, Matthew Kappus⁶, Valentina Medici⁷

Affiliations

¹ Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of California Davis Medical Center, 4150 V Street, Suite 3500, Sacramento, CA, 95817, USA.
² Department of Gastroenterology, University of Sao Paolo Medical School, Sao Paolo, Brazil.
³ Department of Nutrition Sciences, School of Nutrition, Federal University of Bahia, Salvador, Brazil.
⁴ Department of Biology, Institute of Science and the Environment, University of Worcester, Worcester, UK.
⁵ Department of Internal Medicine, Section of Pulmonary and Critical Care, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
⁶ Department of Medicine, Division of Gastroenterology, Duke University Medical Center, Durham, NC, USA.
⁷ Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of California Davis Medical Center, 4150 V Street, Suite 3500, Sacramento, CA, 95817, USA. vmedici@ucdavis.edu.

PMID: 27787787
DOI: 10.1007/s11894-016-0539-4

Review

Malnutrition and Nutritional Support in Alcoholic Liver Disease: a Review

Andrew Chao et al. Curr Gastroenterol Rep. 2016 Dec.

. 2016 Dec;18(12):65.

doi: 10.1007/s11894-016-0539-4.

Authors

Andrew Chao¹, Dan Waitzberg², Rosangela Passos de Jesus³, Allain A Bueno⁴, Victor Kha⁵, Karen Allen⁵, Matthew Kappus⁶, Valentina Medici⁷

Affiliations

¹ Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of California Davis Medical Center, 4150 V Street, Suite 3500, Sacramento, CA, 95817, USA.
² Department of Gastroenterology, University of Sao Paolo Medical School, Sao Paolo, Brazil.
³ Department of Nutrition Sciences, School of Nutrition, Federal University of Bahia, Salvador, Brazil.
⁴ Department of Biology, Institute of Science and the Environment, University of Worcester, Worcester, UK.
⁵ Department of Internal Medicine, Section of Pulmonary and Critical Care, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
⁶ Department of Medicine, Division of Gastroenterology, Duke University Medical Center, Durham, NC, USA.
⁷ Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of California Davis Medical Center, 4150 V Street, Suite 3500, Sacramento, CA, 95817, USA. vmedici@ucdavis.edu.

PMID: 27787787
DOI: 10.1007/s11894-016-0539-4

Abstract

Malnutrition is associated with alcoholic liver disease (ALD) and related complications such as hepatic encephalopathy and increased rate of infections. Avoidance of prolonged fasting and overly restrictive diets is important to avoid poor nutrition. Adequate intake of calories, protein, and micronutrients via frequent small meals and evening supplements and/or enteral and parenteral nutrition when indicated has been associated with reduced mortality and morbidity in patients with ALD. Modification of protein/fat sources and composition in addition to probiotic supplementation are promising interventions for decreased progression of ALD and its complications.

Keywords: Alcoholic liver disease; Diet; Enteral nutrition; Nutrition; Parenteral nutrition.

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References

1. J Clin Gastroenterol. 2002 Nov-Dec;35(5):391-7 - PubMed
1. J Am Diet Assoc. 1981 Jan;78(1):17-21 - PubMed
1. Hepatology. 2010 Jan;51(1):307-28 - PubMed
1. ScientificWorldJournal. 2012;2012:128182 - PubMed
1. Mol Nutr Food Res. 2013 Apr;57(4):596-606 - PubMed

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Malnutrition and Nutritional Support in Alcoholic Liver Disease: a Review

Affiliations

Malnutrition and Nutritional Support in Alcoholic Liver Disease: a Review

Authors

Affiliations

Abstract

References

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MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical