Nutritional issues in patients with obesity and cirrhosis

作     者：Luigi Schiavo Luca Busetto Manuela Cesaretti Shira Zelber-Sagi Liat Deutsch Antonio Iannelli 

作者机构：Department of Translational Medical ScienceUniversity of Campania“Luigi Vanvitelli”Naples 80131Italy Ⅸ Division of General SurgeryVascular Surgery and Applied BiotechnologyNaples University PoliclinicNaples 80131Italy Department of MedicineUniversity of PaduaPadua 35128Italy Center for the Study and the Integrated Management of ObesityUniversity Hospital of PaduaPadua 35128Italy Department of HPB Surgery and Liver TransplantationHopital BeaujonAP-HPClichy 92110France Department of NanophysicsItalian Institute of TechnologyGenova 16163Italy School of Public HealthUniversity of HaifaHaifa 3498838Israel Department of Gastroenterology and Liver diseaseTel Aviv Medical Center62431Tel-Aviv 62431Israel The Sackler Faculty of MedicineTel-Aviv UniversityTel-Aviv 62431Israel Digestive UnitArchet 2 HospitalUniversity Hospital of NiceF-06202NiceFrance InsermU1065Team 8“Hepatic complications of obesity”Nice F-06204France University of Nice Sophia-AntipolisNice F-06107France 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2018年第24卷第30期

页      面：3330-3346页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：obesity cirrhosis sarcopenia malnutrition bariatric surgery 

摘      要：Obesity and metabolic syndrome are considered as responsible for a condition known as the non-alcoholic fatty liver disease that goes from simple accumulation of triglycerides to hepatic inflammation and may progress to *** with obesity also have an increased risk of primary liver malignancies and increased body mass index is a predictor of decompensation of liver *** obesity confers a risk of physical impairment and disability that is significantly higher than the risk induced by each of the two conditions alone as it has been shown to be an independent risk factor for chronicliver disease in patients with obesity and a prognostic negative marker for the evolution of liver cirrhosis and the results of liver *** patients with obesity are at high risk for depletion of various fat-soluble,water-soluble vitamins and trace elements and should be supplemented ***,physical activity and protein intake should be carefully monitored in these fragile patients according to recent *** surgery is sporadically used in patients with morbid obesity and cirrhosis also in the setting of liver *** risk of sarcopenia,micronutrient status,and the recommended supplementation in patients with obesity and cirrhosis are discussed in this ***,the indications and contraindications of bariatric surgery-induced weight loss in the cirrhotic patient with obesity are discussed.