Nutritional Needs and Support for Children with Chronic Liver Disease

Malnutrition has become a dangerously common problem in children with chronic liver disease, negatively impacting neurocognitive development and growth. Furthermore, many children with chronic liver disease will eventually require liver transplantation. Thus, this association between malnourishment...

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Published inNutrients Vol. 9; no. 10; p. 1127
Main Authors Yang, Christine H, Perumpail, Brandon J, Yoo, Eric R, Ahmed, Aijaz, Kerner, Jr, John A
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 16.10.2017
MDPI
Subjects
Children
chronic liver disease
Cognition
Infants
Literature reviews
Liver
Liver diseases
Liver transplantation
Malnutrition
Morbidity
Nutrient deficiency
nutrition
Rehabilitation
Review
Transplantation
Transplants & implants
children
chronic liver disease
nutrition
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Abstract Malnutrition has become a dangerously common problem in children with chronic liver disease, negatively impacting neurocognitive development and growth. Furthermore, many children with chronic liver disease will eventually require liver transplantation. Thus, this association between malnourishment and chronic liver disease in children becomes increasingly alarming as malnutrition is a predictor of poorer outcomes in liver transplantation and is often associated with increased morbidity and mortality. Malnutrition requires aggressive and appropriate management to correct nutritional deficiencies. A comprehensive review of the literature has found that infants with chronic liver disease (CLD) are particularly susceptible to malnutrition given their low reserves. Children with CLD would benefit from early intervention by a multi-disciplinary team, to try to achieve nutritional rehabilitation as well as to optimize outcomes for liver transplant. This review explains the multifactorial nature of malnutrition in children with chronic liver disease, defines the nutritional needs of these children, and discusses ways to optimize their nutritional.
AbstractList Malnutrition has become a dangerously common problem in children with chronic liver disease, negatively impacting neurocognitive development and growth. Furthermore, many children with chronic liver disease will eventually require liver transplantation. Thus, this association between malnourishment and chronic liver disease in children becomes increasingly alarming as malnutrition is a predictor of poorer outcomes in liver transplantation and is often associated with increased morbidity and mortality. Malnutrition requires aggressive and appropriate management to correct nutritional deficiencies. A comprehensive review of the literature has found that infants with chronic liver disease (CLD) are particularly susceptible to malnutrition given their low reserves. Children with CLD would benefit from early intervention by a multi-disciplinary team, to try to achieve nutritional rehabilitation as well as to optimize outcomes for liver transplant. This review explains the multifactorial nature of malnutrition in children with chronic liver disease, defines the nutritional needs of these children, and discusses ways to optimize their nutritional.
Author Yoo, Eric R
Ahmed, Aijaz
Yang, Christine H
Perumpail, Brandon J
Kerner, Jr, John A
AuthorAffiliation 1 Division of Pediatric Gastroenterology, Hepatology and Nutrition, Lucile Packard Children’s Hospital, Palo Alto, Stanford, CA 94304, USA; christine.yang@stanford.edu (C.H.Y.); JKerner@stanfordhealthcare.org (J.A.K.J.)
4 Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
3 Department of Medicine, Santa Clara Valley Medical Center, San Jose, CA 95128, USA; eric.r.yoo@gmail.com
2 Department of Medicine, Drexel University College of Medicine, Philadelphia, PA 19129, USA; bjp63@drexel.edu
AuthorAffiliation_xml – name: 1 Division of Pediatric Gastroenterology, Hepatology and Nutrition, Lucile Packard Children’s Hospital, Palo Alto, Stanford, CA 94304, USA; christine.yang@stanford.edu (C.H.Y.); JKerner@stanfordhealthcare.org (J.A.K.J.)
– name: 3 Department of Medicine, Santa Clara Valley Medical Center, San Jose, CA 95128, USA; eric.r.yoo@gmail.com
– name: 4 Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– name: 2 Department of Medicine, Drexel University College of Medicine, Philadelphia, PA 19129, USA; bjp63@drexel.edu
Author_xml – sequence: 1
  givenname: Christine H
  surname: Yang
  fullname: Yang, Christine H
  email: christine.yang@stanford.edu
  organization: Division of Pediatric Gastroenterology, Hepatology and Nutrition, Lucile Packard Children's Hospital, Palo Alto, Stanford, CA 94304, USA. christine.yang@stanford.edu
– sequence: 2
  givenname: Brandon J
  orcidid: 0000-0001-7716-6824
  surname: Perumpail
  fullname: Perumpail, Brandon J
  email: bjp63@drexel.edu
  organization: Department of Medicine, Drexel University College of Medicine, Philadelphia, PA 19129, USA. bjp63@drexel.edu
– sequence: 3
  givenname: Eric R
  surname: Yoo
  fullname: Yoo, Eric R
  email: eric.r.yoo@gmail.com
  organization: Department of Medicine, Santa Clara Valley Medical Center, San Jose, CA 95128, USA. eric.r.yoo@gmail.com
– sequence: 4
  givenname: Aijaz
  orcidid: 0000-0002-3609-8586
  surname: Ahmed
  fullname: Ahmed, Aijaz
  email: aijazahmed@stanford.edu
  organization: Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. aijazahmed@stanford.edu
– sequence: 5
  givenname: John A
  surname: Kerner, Jr
  fullname: Kerner, Jr, John A
  email: JKerner@stanfordhealthcare.org
  organization: Division of Pediatric Gastroenterology, Hepatology and Nutrition, Lucile Packard Children's Hospital, Palo Alto, Stanford, CA 94304, USA. JKerner@stanfordhealthcare.org
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29035331$$D View this record in MEDLINE/PubMed
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Keywords children
chronic liver disease
nutrition
Language English
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Snippet Malnutrition has become a dangerously common problem in children with chronic liver disease, negatively impacting neurocognitive development and growth....
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SubjectTerms Children
chronic liver disease
Cognition
Infants
Literature reviews
Liver
Liver diseases
Liver transplantation
Malnutrition
Morbidity
Nutrient deficiency
nutrition
Rehabilitation
Review
Transplantation
Transplants & implants
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Title Nutritional Needs and Support for Children with Chronic Liver Disease
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