DGEM-Leitlinie Enterale Ernährung:Hepatologie

M. Plauth; P. Ferenci; E. Holm; S. vom Dahl; J. Kondrup; M. J. Müller; W. Nolte

doi:10.1055/s-2003-36929

Aktuelle Ernährungsmedizin, Table of Contents

Aktuelle Ernährungsmedizin 2003; 28: 87-92
DOI: 10.1055/s-2003-36929

Hepatologie

DGEM-Leitlinie Enterale Ernährung:
Hepatologie

DGEM Guidelines Enteral Nutrition: Liver DiseaseM. Plauth¹ , P. Ferenci² , E. Holm³ , S. vom Dahl⁴ , J. Kondrup⁵ , M. J. Müller⁶ , W. Nolte⁷

¹Klinik für Innere Medizin, Städt. Klinikum Dessau
²Klinische Abteilung Gastroenterologie und Hepatologie, Univ.-Klinik für Innere Medizin IV, Allgemeines Krankenhaus Wien
³Abt. für Gastroenterologie u. Hepatologie, II. Med. Klinik, Universitätsklinik Mannheim
⁴Klinik für Gastroenterologie, Hepatologie und Infektiologie, Universitätsklinikum der Heinrich-Heine-Universität Düsseldorf
⁵Clinical Nutrition Unit, Rigshospitalet Kopenhagen
⁶Institut für Humanernährung u. Lebensmittelkunde, Christian-Albrechts-Universität Kiel
⁷Gastroenterologie u. Endokrinologie, Zentrum Innere Medizin, Universitätskliniken Göttingen

Abstract

Schlüsselwörter

Sondenernährung - Leberzirrhose - ASH - NASH - akutes Leberversagen - Mangelernährung

Key words

Enteral nutrition - liver cirrhosis - ASH - NASH - acute liver failure - malnutrition

Full Text

References

Literatur

1 Mendenhall C L, Tosch T, Weesner R E. et al . VA cooperative study on alcoholic hepatitis. II: Prognostic significance of protein-calorie malnutrition. Am J Clin Nutr. 1986; 43 213-218
2 Mendenhall C L, Moritz T E, Roselle G A. et al . A study of oral nutritional support with oxandrolone in malnourished patients with alcoholic hepatitis: results of a Department of Veterans Affairs cooperative study. Hepatology. 1993; 17 564-576
3 Mendenhall C L, Moritz T E, Roselle G A. et al . Protein energy malnutrition in severe alcoholic hepatitis: diagnosis and response to treatment. The VA Cooperative Study Group #275. JPEN J Parenter Enteral Nutr. 1995; 19 258-265
4 Calvey H, Davis M, Williams R. Controlled trial of nutritional supplementation, with and without branched chain amino acid enrichment, in treatment of acute alcoholic hepatitis. J Hepatol. 1985; 1 141-151
5 Bunout D, Aicardi V, Hirsch S. et al . Nutritional support in hospitalized patients with alcoholic liver disease. Eur J Clin Nutr . 1989; 43 615-621
6 Cabré E, Rodriguez-Iglesias P, Caballeria J. et al . Short- and long-term outcome of severe alcohol-induced hepatitis treated with steroids or enteral nutrition: a multicenter randomized trial. Hepatology. 2000; 32 36-42
7 Kearns P J, Young H, Garcia G. et al . Accelerated improvement of alcoholic liver disease with enteral nutrition. Gastroenterology. 1992; 102 200-205
8 DeLedinghen V, Beau P, Mannant P R. et al . Early feeding or enteral nutrition in patients with cirrhosis after bleeding from esophageal varices? A randomized controlled study. Dig Dis Sci. 1997; 42 536-541
9 Morgan T R, Moritz T E, Mendenhall C L, Haas R. Protein consumption and hepatic encephalopathy in alcoholic hepatitis. VA Cooperative Study Group #275. J Am Coll Nutr. 1995; 14 152-158
10 Moukarzel A A, Najm I, Vargas J, McDiarmid S V, Busuttil R W, Ament M E. Effect of nutritional status on outcome of orthotopic liver transplantation in pediatric patients. Transplant Proc. 1990; 22 1560-1563
11 Pikul J, Sharpe M D, Lowndes R, Ghent C N. Degree of preoperative malnutrition is predictive of postoperative morbidity and mortality in liver transplant recipients. Transplantation. 1994; 57 469-472
12 Harrison J, McKiernan J, Neuberger J M. A prospective study on the effect of recipient nutritional status on outcome in liver transplantation. Transpl Int. 1997; 10 369-374
13 Caregaro L, Alberino F, Amodio P. et al . Malnutrition in alcoholic and virus-related cirrhosis. Am J Clin Nutr. 1996; 63 602-609
14 Alberino F, Gatta A, Amodio P. et al . Nutrition and survival in patients with liver cirrhosis. Nutrition. 2001; 17 445-450
15 Merli M, Riggio O, Dally L. Does malnutrition affect survival in cirrhosis? PINC (Policentrica Italiana Nutrizione Cirrosi). Hepatology. 1996; 23 1041-1046
16 Selberg O, Bottcher J, Tusch G, Pichlmayr R, Henkel E, Muller M J. Identification of high- and low-risk patients before liver transplantation: a prospective cohort study of nutritional and metabolic parameters in 150 patients. Hepatology. 1997; 25 652-657
17 Selberg O, Bottcher J, Pirlich M, Henkel E, Manns M P, Muller M J. Clinical significance and correlates of whole body potassium status in patients with liver cirrhosis. Hepatol Res. 1999; 16 36-48
18 Plauth M, Merli M, Kondrup J, Ferenci P, Weimann A, Muller M J. ESPEN guidelines for nutrition in liver disease and transplantation. Clin Nutr. 1997; 16 43-55
19 Prijatmoko D, Strauss B J, Lambert J R. et al . Early detection of protein depletion in alcoholic cirrhosis: role of body composition analysis. Gastroenterology. 1993; 105 1839-1845
20 Pirlich M, Selberg O, Boker K, Schwarze M, Muller M J. The creatinine approach to estimate skeletal muscle mass in patients with cirrhosis. Hepatology. 1996; 24 1422-1427
21 Pirlich M, Schutz T, Spachos T. et al . Bioelectrical impedance analysis is a useful bedside technique to assess malnutrition in cirrhotic patients with and without ascites. Hepatology. 2000; 32 1208-1215
22 Le Cornu K A, McKiernan F J, Kapadia S A, Neuberger J M. A prospective randomized study of preoperative nutritional supplementation in patients awaiting elective orthotopic liver transplantation. Transplantation. 2000; 69 1364-1369
23 Smith J, Horowitz J, Henderson J M, Heymsfield S. Enteral hyperalimentation in undernourished patients with cirrhosis and ascites. Am J Clin Nutr. 1982; 35 56-72
24 Hirsch S, Bunout C, de la Maza P. et al . Controlled trial on nutrition supplementation in outpatients with symptomatic alcoholic cirrhosis. JPEN J Parenter Enteral Nutr. 1993; 17 119-124
25 Horst D, Grace N D, Conn H O. et al . Comparison of dietary protein with an oral, branched chain-enriched amino acid supplement in chronic portal-systemic encephalopathy: a randomized controlled trial. Hepatology. 1984; 4 279-287
26 Loser C, Folsch U R. Guidelines for treatment with percutaneous endoscopic gastrostomy. German Society of Digestive and Metabolic Diseases. Z Gastroenterol. 1996; 34 404-408
27 Kondrup J, Muller M J. Energy and protein requirements of patients with chronic liver disease. J Hepatol. 1997; 27 239-247
28 Muller M J, Lautz H U, Plogmann B, Burger M, Korber J, Schmidt F W. Energy expenditure and substrate oxidation in patients with cirrhosis: the impact of cause, clinical staging and nutritional state. Hepatology. 1992; 15 782-794
29 Garrison R N, Cryer H M, Howard D A, Polk H C. Clarification of risk factors for abdominal operations in patients with hepatic cirrhosis. Ann Surg. 1984; 199 648-655
30 Muller M J, Loyal S, Schwarze M, Lobers J, Selberg O, Ringe B. Resting energy expenditure and nutritional state in patients with liver cirrhosis before and after liver transplantation. Clin Nutr. 1994; 13 145-152
31 Reilly J, Mehta R, Teperman L. et al . Nutritional support after liver transplantation: a randomized prospective study. JPEN J Parenter Enteral Nutr. 1990; 14 386-391
32 Hasse J M, Blue L S, Liepa G U. et al . Early enteral nutrition support in patients undergoing liver transplantation. JPEN J Parenter Enteral Nutr. 1995; 19 437-443
33 Fan S T, Lo C M, Lai E C, Chu K M, Liu C L, Wong J. Perioperative nutritional support in patients undergoing hepatectomy for hepatocellular carcinoma. N Engl J Med. 1994; 331 1547-1552
34 Kanematsu T, Koyanagi N, Matsumata T, Kitano S, Takenaka K, Sugimachi K. Lack of preventive effect of branched-chain amino acid solution on postoperative hepatic encephalopathy in patients with cirrhosis: a randomized, prospective trial. Surgery. 1988; 104 482-488
35 Chin S E, Shepherd R W, Thomas B J. et al . Nutritional support in children with end-stage liver disease: a randomized crossover trial of a branched-chain amino acid supplement. Am J Clin Nutr. 1992; 56 158-163
36 Wicks C, Somasundaram S, Bjarnason I. et al . Comparison of enteral feeding and total parenteral nutrition after liver transplantation. Lancet. 1994; 344 837-840
37 Rayes N, Seehofer D, Hansen S. et al . Early enteral supply of lactobacillus and fiber versus selective bowel decontamination: a controlled trial in liver transplant recipients. Transplantation. 2002; 74 123-127
38 Pescovitz M D, Mehta P L, Leapman S B, Milgrom M L, Jindal R M, Filo R S. Tube jejunostomy in liver transplant recipients. Surgery. 1995; 117 642-647
39 Mehta P L, Alaka K J, Filo R S, Leapman S B, Milgrom M L, Pescovitz M D. Nutrition support following liver transplantation: comparison of jejunal versus parenteral routes. Clin Transplant. 1995; 9 364-369
40 Plauth M, Schutz T, Bechstein W O, Neuhaus P, Lochs H. Ernährung bei akutem Leberversagen - Ergebnisse einer europäischen Umfrage. Z Gastroenterol. 2001; 39 133

Prof. Dr. med. Mathias Plauth

Städt. Klinikum Dessau

Auenweg 38

06847 Dessau

Email: mathias.plauth@klinikum-dessau.de