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Diets in Encephalopathy.
Clin Liver Dis 2015; 19(3):497-505CL

Abstract

As many as 80% of patients with end-stage liver disease and hepatic encephalopathy have significant protein-calorie malnutrition. Because of the severe hypercatabolic state of cirrhosis, the provision of liberal amounts of carbohydrate (at least 35 to 40 kcal/kg per day), and between 1.2 and 1.6 g/kg of protein is necessary. Protein restriction is not recommended. Branched-chain amino acid supplementation and vegetable protein are associated with improved outcomes. Dietary supplementation with vitamins, minerals (with the notable exception of zinc) and probiotics should be decided on a case-by-case basis.

Authors+Show Affiliations

475 Seaview Avenue, Staten Island, NY 10305, USA. Electronic address: g-abd@hotmail.com.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

26195204

Citation

Abdelsayed, George G.. "Diets in Encephalopathy." Clinics in Liver Disease, vol. 19, no. 3, 2015, pp. 497-505.
Abdelsayed GG. Diets in Encephalopathy. Clin Liver Dis. 2015;19(3):497-505.
Abdelsayed, G. G. (2015). Diets in Encephalopathy. Clinics in Liver Disease, 19(3), pp. 497-505. doi:10.1016/j.cld.2015.05.001.
Abdelsayed GG. Diets in Encephalopathy. Clin Liver Dis. 2015;19(3):497-505. PubMed PMID: 26195204.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diets in Encephalopathy. A1 - Abdelsayed,George G, PY - 2015/7/22/entrez PY - 2015/7/22/pubmed PY - 2016/4/15/medline KW - Diet KW - Encephalopathy KW - End-stage liver disease KW - Malnutrition SP - 497 EP - 505 JF - Clinics in liver disease JO - Clin Liver Dis VL - 19 IS - 3 N2 - As many as 80% of patients with end-stage liver disease and hepatic encephalopathy have significant protein-calorie malnutrition. Because of the severe hypercatabolic state of cirrhosis, the provision of liberal amounts of carbohydrate (at least 35 to 40 kcal/kg per day), and between 1.2 and 1.6 g/kg of protein is necessary. Protein restriction is not recommended. Branched-chain amino acid supplementation and vegetable protein are associated with improved outcomes. Dietary supplementation with vitamins, minerals (with the notable exception of zinc) and probiotics should be decided on a case-by-case basis. SN - 1557-8224 UR - https://www.unboundmedicine.com/medline/citation/26195204/Diets_in_Encephalopathy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1089-3261(15)00041-0 DB - PRIME DP - Unbound Medicine ER -