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Med Sci Monit 2000; 6(6): RA1223-1226
The role of the nutrition is discussed in relation to chronic liver disease.An outline of the general principles involved in regulating nutrition in patients with advanced liverdisease is given followed by an evaluation of the effects of malnutrition on the outcome of the disease.Major problems faced over the course of advanced liver disease are carbohydrate intolerance, sodium andfluid retention which may progress to hepatorenal syndrome, and hepatic encephalopathy. Interest on dietregulation in such cases has been recently reemphasized in multicenter studies particularly in the livertransplant setting and alcoholic liver disease. Controversies exist regarding albumin infusion afterparacenthesis, low protein diet in hepatic encephalopathy and water restriction before sodium. The effectof nutrition on the outcome of liver disease and survival is not well established. However patients withbetter nutritional state do much better after transplant.