État nutritionnel des patients avec maladies du foie : épidémiologie et pronostic
✍ Scribed by Lorenza Caregaro; Franca Alberino; Angelo Gatta
- Publisher
- Elsevier Science
- Year
- 1999
- Tongue
- French
- Weight
- 994 KB
- Volume
- 13
- Category
- Article
- ISSN
- 0985-0562
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✦ Synopsis
R6sum6
La malnutrition est g6n6ralement qualifiee de malnutrition prot6ino-6nerg6tique chez les patients atteints de maladie h6patique chronique & cause de la depl6tion de la masse musculaire et de la masse grasse associ6e au d6ficit prot6ique. Les carences en vitamines et en oligo616ments coexistent souvent. La malnutrition proteino-6nerg~tique represente une complication fr6quente des h6patopathies & un stade avanc6, qu'elle soit d'origine alcoolique ou non. Elle est liee davantage & la s6v@it6 de la maladie qu'& son 6tiologie. La malnutrition influence negativement la fonction h6patique, les complications inh6rentes et la survie des patients. Les malades denutris ont un risque chirurgical accru et une survie diminuee apr6s transplantation h6patique. L'6valuation de 1'6tat nutritionnel des patients avec h6patopathie chronique peut 6tre utile pour pr6dire le pronostic et mieux definir le support nutritionnel ad6quat. @ 1999 I~ditions scientifiques et m6dicales Elsevier SAS anthropometrie / cirrhose hepatique / h6patopathie / survie Summary -Nutritional status in patients with liver disease: epidemiology and prognosis.
Malnutrition is generally defined as protein-energy malnutrition (PEM) in patients with chronic liver disease, because the depletion of muscle mass and body fat is associated with protein depletion.
Deficiencies of vitamins and minerals often coexist. PEM represents a common complication of advanced fiver disease, both of alcoholic and nonalcoholic etiology. It is related to the severity of the fiver disease more than to its etiology. Malnutrition negatively affects fiver function, complications of the liver disease, and survival Malnourished patients have an increased surgical risk and decreased survival after fiver transplantation. The assessment of nutritional status in patients with chronic fiver disease may be helpful in providing better prognostic information and more precise targeting of potential nutrition intervention.