[Evaluation and nutritional therapy in cirrhotic patients of the "Edgardo Rebagliati Martins" hospital].
A nutritional evaluation was carried out in 43 cirrhotic outpatients who came to the Digestive Disease Department of the Edgardo Rebagliati Martins Hospital for a checkup. The evaluation included a dietary composition analysis; nutritional status through the analysis of lean and fatty mass through anthropometric parameters (tricipital skin fold thickness, midarm muscle circumference, muscle arm circumference and creatinine excretion in the 24 h urine/height ratio), measuring of visceral proteins (albumin, transferrin) and bioelectric Impedance. Finally, a nutritional dietary intervention was made according to international standards for cirrhotic patients. The Child - Pugh score was: Child A: 16 patients (37.1%), Child B: 20 patients (46.5%) and Child C: 7 patients (16.4%). The dietary analysis showed the following: Hypoprotein diets in 42 patients (98%), hypocaloric diets in 38 patients (88%), low fat diets in 36 patients (83.7%) only one patient had a normal diet. Nutritional status was normal in 15 patients (35%), 24 patients had protein malnutrition (56%) and 4 patients had protein-calorie malnutrition (9.3%). There was an association between Child B and C and the malnutrition diagnosis was (p = 0.045). The nutritional intervention was carried out in 19 of the 43 patients (dietary therapy) during 15 months; the results were 17 hospital admissions in the group without nutritional intervention and 6 in the group that had received nutritional intervention: (p = 0.01). Malnutrition and inadequate diets are becoming a prevalent problem in our cirrhotic population. Nutritional support may provide an additional and valuable therapy to decrease patient morbidity.
Venegas Tresierra
Luis Fernando
LF
Medico Internista, Dpto. de Medicina del, HNERM.
Holguín Marín
Rosario
R
Yoza Yoshidaira
Max
M
Mormontoy Lauret
Wilfredo
W
Jara Cubas
Teresa
T
Polo Ramírez
Carmen
C
Vega Caico
Ivonne
I
D005260:Female; D006761:Hospitals; D006801:Humans; D008103:Liver Cirrhosis / Q000178:diet therapy*; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D010568:Peru