Resumen

The prevalence of under nutrition in cirrhotic patients is 61% and it usually progresses as the disease becomes more advanced. The deterioration in the nutritional status and its associated metabolic derangements has raised doubts about the benefits of severe and prolonged protein restriction as a treatment for hepatic encephalopathy. However, the practice of dietary protein restriction for patients with liver cirrhosis is deeply embedded among medical practitioners and dietitians. To date, no solid conclusions may be drawn about the benefit of protein restriction. However, the negative effects of protein restriction are clear, that is, increased protein catabolism, the release of amino acids from the muscle, and possible worsening of hepatic encephalopathy. In conclusion, chronic protein restriction causes progressive and harmful protein depletion and must be avoided.

Palabras clave: Nutrition hepatic encephalopathy protein metabolism protein restriction protein supplementation.

2011-08-10   |   482 visitas   |   Evalua este artículo 0 valoraciones

Vol. 10 Núm.2. Julio 2011 Pags. 45-49 Ann Hepatol 2011; 10(Supl. 2)