Nutrition in End-Stage Liver Disease: Principles and Practice

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Nutrition in End-Stage Liver Disease: Principles and Practice Alastair O'Brien, Roger Williams  Gastroenterology  Volume 134, Issue 6, Pages 1729-1740 (May 2008) DOI: 10.1053/j.gastro.2008.02.001 Copyright © 2008 AGA Institute Terms and Conditions

Figure 1 Malnutrition is predictive of survival in patients with liver cirrhosis. Survival rates in patients with midarm muscle circumferences below the 5th (group 1), 10th (group 2), and 75th (group 3) percentiles and above the 75th percentile (group 4). P < .001 at 6, 12, and 24 months between patients with severe and moderate malnutrition (groups 1 and 2, respectively) and those with normal and overnourished nutrition (groups 3 and 4, respectively). Patients with transplants were screened at the time of transplantation. Reprinted with permission from Alberino et al.5 Gastroenterology 2008 134, 1729-1740DOI: (10.1053/j.gastro.2008.02.001) Copyright © 2008 AGA Institute Terms and Conditions

Figure 2 Scheme for determining nutritional status in patients with cirrhosis. Patients are categorized in relation to their body mass index (BMI), midarm muscle circumference (MAMC), and dietary intake into one of 3 categories: adequately nourished, moderately malnourished (or suspected to be), and severely malnourished. A subjective override based on factors such as profound weight loss or recent significant improvements in appetite and dietary intake can be used to modify the classification by one category only. Reprinted with permission from Morgan et al.78 Gastroenterology 2008 134, 1729-1740DOI: (10.1053/j.gastro.2008.02.001) Copyright © 2008 AGA Institute Terms and Conditions

Alastair O'Brien Gastroenterology 2008 134, 1729-1740DOI: (10.1053/j.gastro.2008.02.001) Copyright © 2008 AGA Institute Terms and Conditions

Roger Williams Gastroenterology 2008 134, 1729-1740DOI: (10.1053/j.gastro.2008.02.001) Copyright © 2008 AGA Institute Terms and Conditions