Tube feeding in patients with liver disease is often approached with
trepidation because of fears of bleeding with tube placement due to the
presence of esophageal varices or coagulopathy. However, the amount of
published data supporting these fears is limited. This manuscript examines the
issues surrounding tube feedings in patients with liver disease.
Get full access to this article
View all access options for this article.
References
1.
Nutritional status in cirrhosis: Italian Multicentre Cooperative
Project on Nutrition in Liver Cirrhosis. J Hepatol.1994
;21:317–
325.
2.
Campillo B, Richardet J-P, Scherman E, Bories PN. Evaluation of
nutritional practice in hospitalized cirrhotic patients: results of a
prospective study. Nutrition.2003
;19:515–
521.
3.
Kearns PJ, Young H, Garcia G, et al. Accelerated improvement of
alcoholic liver disease with enteral nutrition.
Gastroenterology.1992
;102:200–
205.
4.
Cabre E, Rodriguez-Iglesias P, Caballeria J, et al. Short- and
long-term outcome of severe alcohol-induced hepatitis treated with steroids or
enteral nutrition: a multicenter randomized trial.
Hepatology.2000
;32:36–
42.
5.
de Ledinghen V, Beau P, Mannant PR, et al. Early feeding or enteral
nutrition in patients with cirrhosis after bleeding from esophageal varices? A
randomized controlled study. Dig Dis Sci.1997
;42:536–
541.
6.
Campillo B, Richardet J-P, Bories PN. Enteral nutrition in severely
malnourished and anorectic cirrhotic patients in clinical practice.
Gastroenterol Clin Biol.2005
;29:645–
651.
7.
Cales P, Zabotto B, Meskens C, et al. Gastroesophageal endoscopic
features in cirrhosis: observer variability, interassociations, and
relationships to hepatic dysfunction.
Gastroenterology.1990
;98:156–
162.
8.
O'Keefe SJD, Abraham R, El-Zayadi A, Marshall W, Davis M, Williams
R. Increased plasma tyrosine concentrations in patients with cirrhosis and
fulminant hepatic failure associated with increased plasma tyrosine flux and
reduced hepatic oxidation capacity. Gastroenterology.1981
;81:1017–
1024.
9.
Fryden A, Weiland O, Martensson J. Successful treatment of hepatic
coma probably caused by acute infectious hepatitis with balanced solution of
amino acids. Scand J Infect Dis.1982
;14:177–
180.
10.
Forbes A, Wicks C, Marshall W, Johnson P, Forsey P, Williams R.
Nutritional support in fulminant hepatic failure: the safety of lipid
solutions. Gut.1987
;28:1347–
1349.
11.
Schneeweiss B, Pammer J, Ratheiser K, et al. Energy metabolism in
acute hepatic failure. Gastroenterology.1993
;105:1515–
1521.
12.
Walsh TS, Wigmore SJ, Hopton P, Richardson R, Lee A. Energy
expenditure in acetaminophen-induced fulminant hepatic failure.
Crit Care Med.2000
;28:649–
654.
13.
Schutz T, Bechstein W-O, Neuhaus P, Lochs H, Plauth M. Clinical
practice of nutrition in acute liver failure: a European survey.
Clin Nutr.2004
;23:975–
982.