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Malnutrition and Nutritional Support in Alcoholic Liver Disease: a Review

Current Gastroenterology Reports volume 18, Article number: 65 (2016) Cite this article

Abstract

Malnutrition is associated with alcoholic liver disease (ALD) and related complications such as hepatic encephalopathy and increased rate of infections. Avoidance of prolonged fasting and overly restrictive diets is important to avoid poor nutrition. Adequate intake of calories, protein, and micronutrients via frequent small meals and evening supplements and/or enteral and parenteral nutrition when indicated has been associated with reduced mortality and morbidity in patients with ALD. Modification of protein/fat sources and composition in addition to probiotic supplementation are promising interventions for decreased progression of ALD and its complications.

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Authors and Affiliations

  1. Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of California Davis Medical Center, 4150 V Street, Suite 3500, Sacramento, CA, 95817, USA

    Andrew Chao & Valentina Medici

  2. Department of Gastroenterology, University of Sao Paolo Medical School, Sao Paolo, Brazil

    Dan Waitzberg

  3. Department of Nutrition Sciences, School of Nutrition, Federal University of Bahia, Salvador, Brazil

    Rosangela Passos de Jesus

  4. Department of Biology, Institute of Science and the Environment, University of Worcester, Worcester, UK

    Allain A. Bueno

  5. Department of Internal Medicine, Section of Pulmonary and Critical Care, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    Victor Kha & Karen Allen

  6. Department of Medicine, Division of Gastroenterology, Duke University Medical Center, Durham, NC, USA

    Matthew Kappus

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  1. Andrew Chao
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Correspondence to Valentina Medici.

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Drs. Chao, Waitzberg, Passos de Jesus, Bueno, Kha, Allen, Kappus, and Medici declare no conflict of interest.

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Chao, A., Waitzberg, D., de Jesus, R.P. et al. Malnutrition and Nutritional Support in Alcoholic Liver Disease: a Review. Curr Gastroenterol Rep 18, 65 (2016). https://doi.org/10.1007/s11894-016-0539-4

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Keywords

  • Alcoholic liver disease
  • Diet
  • Nutrition
  • Enteral nutrition
  • Parenteral nutrition