Estado actual del manejo nutricional en pacientes con trasplante hepático

Abstract

Cirrhosis of the liver is a leading cause of morbidity and mortality. Awareness of the importance of nutrition in the management of cirrhosis is critical to help improve clinical outcomes in this frequently frail patient population. Managing malnutrition before liver transplantation while on the waiting list and, metabolic disturbances in post-surgery are still a challenge. The purpose of this review is to support an interdisciplinary nutrition approach of these patients. Cirrhotic patients are frequently malnourished before liver transplantation and this is associated with a poor prognosis. Although the relation between nutritional status versus survival, successful operation and recovery after liver transplantation is well established, prevalence of malnutrition before the operation is still very high. The diagnosis of the nutritional status is the first step to address the adequate nutritional therapy. Nutritional recommendations and therapy to manage the nutritional status of liver and use of certain and should be addressed in order to reduce