Pre-operative nutritional evaluation in liver transplant candidates

Objective: The high prevalence of malnutrition in patients with end-stage of liver disease requires broad intensive measures to evaluate the pre-operative nutritional status while on the waiting list, aiming early disturbance corrections and a better after-transplant prognosis. Methods: An assessme...

Full description

Bibliographic Details
Main Authors: Daniela Salate Biagioni, Camila César Winckler, Regina Célia Callile de Paula, Milene Regina Bailo Gomes, Ricardo Augusto Monteiro de Barros Almeida, Juan Carlos Llanos, Giovanni Faria Silva, Alexandre Bakonyi Neto
Format: Article
Language:English
Published: Associação Brasileira de Transplante de Órgãos 2005-09-01
Series:Brazilian Journal of Transplantation
Subjects:
Online Access:https://bjt.emnuvens.com.br/revista/article/view/380
_version_ 1818529743146844160
author Daniela Salate Biagioni
Camila César Winckler
Regina Célia Callile de Paula
Milene Regina Bailo Gomes
Ricardo Augusto Monteiro de Barros Almeida
Juan Carlos Llanos
Giovanni Faria Silva
Alexandre Bakonyi Neto
author_facet Daniela Salate Biagioni
Camila César Winckler
Regina Célia Callile de Paula
Milene Regina Bailo Gomes
Ricardo Augusto Monteiro de Barros Almeida
Juan Carlos Llanos
Giovanni Faria Silva
Alexandre Bakonyi Neto
author_sort Daniela Salate Biagioni
collection DOAJ
description Objective: The high prevalence of malnutrition in patients with end-stage of liver disease requires broad intensive measures to evaluate the pre-operative nutritional status while on the waiting list, aiming early disturbance corrections and a better after-transplant prognosis. Methods: An assessment on 33 out of 44 prognosis on liver transplantation waiting list was performed from March, 2004 to January, 2005. The current body weight, dry body weight, ideal body weight, body mass index, the percentage of adequacy of dry body weight / ideal body weight, tricipital skin fold, mid-arm muscular circumference, uncorrected mid-arm muscular area, blood albumin levels, and total lymphocyte count were assessed. Results: Upon the use of the body mass index and percentage of adequacy of the dry body weight / body mass index assessments, higher frequency of eutrofic and obese patients were observed, respectively. The protein depletion was higher than fat depletion in those patients, probably related to the catabolism associated to the liver disease and physical inactivity. Conclusion: Many nutritional measures are necessary in order to improve the accuracy of the results.
first_indexed 2024-12-11T17:10:50Z
format Article
id doaj.art-7c3576fddd574091bc348e9d46f61d3b
institution Directory Open Access Journal
issn 2764-1589
language English
last_indexed 2024-12-11T17:10:50Z
publishDate 2005-09-01
publisher Associação Brasileira de Transplante de Órgãos
record_format Article
series Brazilian Journal of Transplantation
spelling doaj.art-7c3576fddd574091bc348e9d46f61d3b2022-12-22T00:57:32ZengAssociação Brasileira de Transplante de ÓrgãosBrazilian Journal of Transplantation2764-15892005-09-018410.53855/bjt.v8i4.380Pre-operative nutritional evaluation in liver transplant candidatesDaniela Salate Biagioni0Camila César Winckler1Regina Célia Callile de Paula2Milene Regina Bailo Gomes3Ricardo Augusto Monteiro de Barros Almeida4Juan Carlos Llanos5Giovanni Faria Silva6Alexandre Bakonyi Neto7Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil.Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil.Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil.Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil.Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil.Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil.Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil.Division of Liver and Pancreas Transplantation, Department of Surgery, Botucatu School of Medicine – UNESP, São Paulo, Brazil. Objective: The high prevalence of malnutrition in patients with end-stage of liver disease requires broad intensive measures to evaluate the pre-operative nutritional status while on the waiting list, aiming early disturbance corrections and a better after-transplant prognosis. Methods: An assessment on 33 out of 44 prognosis on liver transplantation waiting list was performed from March, 2004 to January, 2005. The current body weight, dry body weight, ideal body weight, body mass index, the percentage of adequacy of dry body weight / ideal body weight, tricipital skin fold, mid-arm muscular circumference, uncorrected mid-arm muscular area, blood albumin levels, and total lymphocyte count were assessed. Results: Upon the use of the body mass index and percentage of adequacy of the dry body weight / body mass index assessments, higher frequency of eutrofic and obese patients were observed, respectively. The protein depletion was higher than fat depletion in those patients, probably related to the catabolism associated to the liver disease and physical inactivity. Conclusion: Many nutritional measures are necessary in order to improve the accuracy of the results. https://bjt.emnuvens.com.br/revista/article/view/380Nutritional AssessmentLiver TransplantationMalnutritionTotal Lymphocyte Count
spellingShingle Daniela Salate Biagioni
Camila César Winckler
Regina Célia Callile de Paula
Milene Regina Bailo Gomes
Ricardo Augusto Monteiro de Barros Almeida
Juan Carlos Llanos
Giovanni Faria Silva
Alexandre Bakonyi Neto
Pre-operative nutritional evaluation in liver transplant candidates
Brazilian Journal of Transplantation
Nutritional Assessment
Liver Transplantation
Malnutrition
Total Lymphocyte Count
title Pre-operative nutritional evaluation in liver transplant candidates
title_full Pre-operative nutritional evaluation in liver transplant candidates
title_fullStr Pre-operative nutritional evaluation in liver transplant candidates
title_full_unstemmed Pre-operative nutritional evaluation in liver transplant candidates
title_short Pre-operative nutritional evaluation in liver transplant candidates
title_sort pre operative nutritional evaluation in liver transplant candidates
topic Nutritional Assessment
Liver Transplantation
Malnutrition
Total Lymphocyte Count
url https://bjt.emnuvens.com.br/revista/article/view/380
work_keys_str_mv AT danielasalatebiagioni preoperativenutritionalevaluationinlivertransplantcandidates
AT camilacesarwinckler preoperativenutritionalevaluationinlivertransplantcandidates
AT reginaceliacalliledepaula preoperativenutritionalevaluationinlivertransplantcandidates
AT milenereginabailogomes preoperativenutritionalevaluationinlivertransplantcandidates
AT ricardoaugustomonteirodebarrosalmeida preoperativenutritionalevaluationinlivertransplantcandidates
AT juancarlosllanos preoperativenutritionalevaluationinlivertransplantcandidates
AT giovannifariasilva preoperativenutritionalevaluationinlivertransplantcandidates
AT alexandrebakonyineto preoperativenutritionalevaluationinlivertransplantcandidates