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Total parenteral nutrition: challenges and practice in the cirrhotic patient.

Abstract：

:Patients with cirrhosis develop metabolic derangements of protein, carbohydrate, and lipid metabolism. Malnutrition is commonplace and is associated with morbidity and mortality. Specific nutrient deficiencies may occur and enteral or parenteral nutritional support may improve outcome in appropriately selected patients. Parenteral nutrition itself has been associated with hepatic dysfunction, although the preponderance of evidence suggests that hepatic dysfunction is more a function of the underlying disorder and malabsorption. Intravenously infused organic nutrients may be metabolized differently than the same nutrient consumed enterally. The pathophysiology of total parenteral nutrition-associated liver disease is discussed as well as potential management options.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Buchman AL

doi

10.1016/j.transproceed.2006.05.030

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

1659-63

issue

6

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(06)00514-8

journal_volume

38

pub_type

杂志文章,评审

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