Managing the Complications of Cirrhosis: A Practical Approach

Atif Zaman, MD, MPH

Chapter 3: Nutrition In Patients With Cirrhosis (continued)

Anna Sasaki, MD, PhD

One of the most pervasive and neglected issues confronting the clinician caring for a cirrhotic patient is that of malnutrition. Estimates of clinically significant inpatient malnutrition vary from 60% to 90% and occur irrespective of the etiology of the liver disease.1-3 The consequences of malnutrition in patients with chronic liver disease affect not only the patients but also result in higher in-hospital mortality, greater length of stay, and higher costs.4 In addition, there is a correlation between the severity of the liver disease and the degree of malnutrition. In the 19th and early…