title: [French survey on perioperative nutrition in cirrhotic adult patients waiting for liver transplantation].
abstract: OBJECTIVE
  The European Society for Clinical Nutrition and Metabolism (EPSEN) guidelines on nutrition for liver disease patients has been recently updated. The aim of our study was to evaluate perioperative nutrition in cirrhotic patients waiting for liver transplantation (LT).
  
  
  METHODS
  Prospective electronic survey. A standardized questionnaire was sent to the anaesthesiologist of the 18 French adult LT centers. The questionnaire had closed-ended questions to evaluate nutritional practices in cirrhotic patients waiting for a LT.
  
  
  RESULTS
  The response rate was 100%. Nutritional status of the cirrhotic patients waiting for LT was assessed by anaesthesiologists (12 centres) and/or hepatologists (11 centres) and more rarely by nutrition physician, dietetics or liver surgeons. Body mass index (13 centres), weight loss (10 centres), albuminemia (10 centres) were the most frequent items used to assess the nutritional status. Before LT, preoperative oral intakes were administered in undernourished patients in only 55% of the cases. Postoperatively, nutritional support was administered between day 1 and 3 after LT.
  
  
  CONCLUSIONS
  Perioperative nutritional practices in cirrhotic patients waiting for LT are heterogeneous between centers, especially about nutrition assessment. Most of the centres did not follow the actual guidelines.
authors.affiliation: Service d'anesthésie et des réanimations chirurgicales, université Paris-Est Créteil, Assistance publique-Hôpitaux de Paris, groupe hospitalier et universitaire Henri-Mondor-Albert-Chenevier, 51 avenue du Maréchal-de-Lattre-de-Tassigny, Créteil cedex, France. michele.binhas@hmn.aphp.fr
authors.forename: M
authors.initials: M
authors.lastname: Binhas
authors.forename: R
authors.initials: R
authors.lastname: Amathieu
authors.forename: B
authors.initials: B
authors.lastname: Campillo
authors.forename: F
authors.initials: F
authors.lastname: Roudot-Thoraval
authors.forename: D
authors.initials: D
authors.lastname: Azoulay
authors.forename: B
authors.initials: B
authors.lastname: Plaud
authors.forename: G
authors.initials: G
authors.lastname: Dhonneur
authors.forename: C
authors.initials: C
authors.lastname: Paugam-Burtz
mesh_terms: D000328:Adult; D000761:Anesthesia Department, Hospital; D000886:Anthropometry; D004046:Dietetics; D004750:Enteral Nutrition / Q000706:statistics & numerical data; D005521:Food Service, Hospital; D005602:France; D019538:Health Care Surveys; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation; D044342:Malnutrition / Q000150:complications / Q000178:diet therapy*; D015596:Nutrition Assessment; D009752:Nutritional Status; D018529:Nutritional Support; D010288:Parenteral Nutrition / Q000706:statistics & numerical data; D010348:Patient Care Team; D011182:Postoperative Care / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D011795:Surveys and Questionnaires