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[Importance of nutritional support in patients with hepatic encephalopathy].
Nutr Hosp 2012 Mar-Apr; 27(2):372-81NH

Abstract

Protein calorie malnutrition is frequently a complication in the chronic liver disease patient and is considered to be a negative prognostic factor. Anorexia and several other endocrine metabolic complications produce an hypermetabolic state that needs more caloric intake. Hepatic encephalopathy is one of the developments possible in patients with descompensated cirrhosis. The wellknown role of ammonia in the pathogenesis of hepatic encephalopathy has determined a restriction in dietary protein along many decades. Nevertheless, there is no evidence about a low protein diet being better in the outcome of hepatic encephalopathy, it worsens, moreover, the nutritional status and helps in the development of many nutritional related complications. This article reviews the use of oral branched-chain amino acids and proteins of different sources, probiotics, synbiotics, antioxidants, oral L-Ornithine L-Aspartate and acetyl-L-carnitine in patients with hepatic encephalopathy.

Authors+Show Affiliations

Servicio de Aparato Digestivo, Hospital Universitario Reina Sofía, Córdoba, España.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

spa

PubMed ID

22732958

Citation

Jurado García, J, et al. "[Importance of Nutritional Support in Patients With Hepatic Encephalopathy]." Nutricion Hospitalaria, vol. 27, no. 2, 2012, pp. 372-81.
Jurado García J, Costán Rodero G, Calañas-Continente A. [Importance of nutritional support in patients with hepatic encephalopathy]. Nutr Hosp. 2012;27(2):372-81.
Jurado García, J., Costán Rodero, G., & Calañas-Continente, A. (2012). [Importance of nutritional support in patients with hepatic encephalopathy]. Nutricion Hospitalaria, 27(2), pp. 372-81. doi:10.1590/S0212-16112012000200006.
Jurado García J, Costán Rodero G, Calañas-Continente A. [Importance of Nutritional Support in Patients With Hepatic Encephalopathy]. Nutr Hosp. 2012;27(2):372-81. PubMed PMID: 22732958.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Importance of nutritional support in patients with hepatic encephalopathy]. AU - Jurado García,J, AU - Costán Rodero,G, AU - Calañas-Continente,A, PY - 2011/06/26/received PY - 2011/09/28/accepted PY - 2012/6/27/entrez PY - 2012/6/27/pubmed PY - 2012/11/14/medline SP - 372 EP - 81 JF - Nutricion hospitalaria JO - Nutr Hosp VL - 27 IS - 2 N2 - Protein calorie malnutrition is frequently a complication in the chronic liver disease patient and is considered to be a negative prognostic factor. Anorexia and several other endocrine metabolic complications produce an hypermetabolic state that needs more caloric intake. Hepatic encephalopathy is one of the developments possible in patients with descompensated cirrhosis. The wellknown role of ammonia in the pathogenesis of hepatic encephalopathy has determined a restriction in dietary protein along many decades. Nevertheless, there is no evidence about a low protein diet being better in the outcome of hepatic encephalopathy, it worsens, moreover, the nutritional status and helps in the development of many nutritional related complications. This article reviews the use of oral branched-chain amino acids and proteins of different sources, probiotics, synbiotics, antioxidants, oral L-Ornithine L-Aspartate and acetyl-L-carnitine in patients with hepatic encephalopathy. SN - 1699-5198 UR - https://www.unboundmedicine.com/medline/citation/22732958/[Importance_of_nutritional_support_in_patients_with_hepatic_encephalopathy]_ L2 - http://www.diseaseinfosearch.org/result/3328 DB - PRIME DP - Unbound Medicine ER -