Chronic liver disease places patients at increased risk of malnutrition that can be challenging to identify clinically and treat. Nutrition support is a key aspect of the management of these patients as it has an impact on their quality of life, morbidity, and mortality. There are significant gaps in the literature regarding the optimal nutrition support for patients with different types of liver diseases and the impact of these interventions on long-term outcomes. This Position Paper summarizes the available literature on the nutritional aspects of the care of patients with chronic liver diseases. Specifically, the challenges associated with the nutritional assessment of these subjects are discussed, and recently investigated approaches to determining the patients' nutritional status are reviewed. Furthermore, the pathophysiology of the malnutrition seen in the context of chronic liver disease is summarized and monitoring, as well as treatment, recommendations are provided. Lastly, suggestions for future research studies are described.

Children's Hospital and Medical Center University of Nebraska Medical Center Omaha NE

Children's Hospital of Colorado University of Colorado School of Medicine Aurora CO

Children's Hospital Zagreb University of Zagreb School of Medicine Zagreb Croatia

Cincinnati Children's Hospital Medical Center University of Cincinnati School of Medicine Cincinnati OH

Department of Pediatrics 2nd Faculty of Medicine Charles University Prague and Motol University Hospital Prague Czech Republic

Department of Pediatrics and Adolescent Medicine Medical University of Graz Graz Austria

Department of Pediatrics McMaster University Hamilton Canada

Liver Unit Birmingham Children's Hospital Birmingham United Kingdom

Citace poskytuje Crossref.org

European Consensus on Malabsorption-UEG & SIGE, LGA, SPG, SRGH, CGS, ESPCG, EAGEN, ESPEN, and ESPGHAN: Part 2: Screening, Special Populations, Nutritional Goals, Supportive Care, Primary Care Perspective