Copyright
©The Author(s) 2020.
World J Hepatol. Nov 27, 2020; 12(11): 883-896
Published online Nov 27, 2020. doi: 10.4254/wjh.v12.i11.883
Published online Nov 27, 2020. doi: 10.4254/wjh.v12.i11.883
Nutritional recommendations |
Small, frequent meals and snacks (5-7 per day) |
High calorie intake (≥ 32 kcal/kg/d) |
High protein intake (1.2-1.5 g/kg/d) |
Late evening snack containing protein and carbohydrate |
Add oral nutrition supplements when unable to meet energy-protein requirements via ad-libitum dietary intake |
Low sodium diet (≤ 2000 mg/d) if ascites or oedema present |
Supplement with branched chain amino acids (25%-30% of total protein requirement) if hepatic encephalopathy or sarcopenia present, whilst ensuring overall protein intake meets requirements |
Initiate enteral feeds (nasogastric) if unable to meet energy-protein needs via oral diet (polymeric, energy-dense formula). Consider nasojejunal tube if severe gastroparesis or intolerance of nasogastric feeds |
Initiate parenteral nutrition if malnourished and enteral route either not accessible or unable to tolerate full energy-protein requirements |
- Citation: Chapman B, Sinclair M, Gow PJ, Testro AG. Malnutrition in cirrhosis: More food for thought. World J Hepatol 2020; 12(11): 883-896
- URL: https://www.wjgnet.com/1948-5182/full/v12/i11/883.htm
- DOI: https://dx.doi.org/10.4254/wjh.v12.i11.883