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Copyright ©The Author(s) 2016.
World J Gastroenterol. Jan 28, 2016; 22(4): 1513-1522
Published online Jan 28, 2016. doi: 10.3748/wjg.v22.i4.1513
Table 3 Nutritional recommendations in pre and peri liver transplant
Calories35-40 kcal/kgAvoid fasting for longer than 3-6 h during daytime; encouraged to take small, frequent meals distributed throughout the day
Protein1.2-1.5 g/kgIt is suggested diets rich in vegetables and dairy protein
Carbohydrates50%-70%A late-evening snack of 50 g of complex carbohydrates is suggested to reverse aberrant substrate utilization and improve nitrogen retention
Fat30%It should not be restricted, unless true fat malabsorption has been diagnosed using a fecal fat test or slower gastric emptying is reported
Fiber25-45 g/dPrebiotics fermentation seems to have a beneficial effect on neuropsychiatric performance
Vitamin and mineraisDietary Reference IntakesOr pharmacological doses in case of deficiency
Calories25-30 kcal/kgUse indirect calorimetry if it is available
Proteins1.5-2.0 g/kgIn the immediate phase after the operation, protein catabolism is markedly increased
Food/enteral nutritionEarly normal food or enteral nutrition (12 h) after liver transplant is advisable as long as the patient is hemodynamically stable and has no nausea or vomiting