Nutritional status in children with cholestasis: diagnostic approaches and correction possibilities

Abstract

Cholestasis is associated with various chronic liver diseases both in childhood and in adulthood. Stagnation of bile and its insufficient secretion into the digestive tract cause malabsorption of fats and fat-soluble vitamins. Increased energy requirements and inadequate energy intake lead to eating disorders, which are especially dangerous in childhood. Weight and height deficits in children with cholestasis increase the risk of complications and accelerate the progression of the disease. A comprehensive assessment of nutritional status using all available methods allows timely initiation of correction of the detected disorders. This article presents current approaches to the diagnosis of nutritional status disorders and features of diet therapy in children with chronic liver diseases occurring with cholestasis. Key words: cholestasis, children, malabsorption, diet therapy, nutritional status