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can improve nutritional status and survival in severely   Malnutrition is a potentially reversible condition that, when
            malnourished ESLD patients. [31,37,63,90,91]  In patients with   identified and treated appropriately, can lead to improved
            cirrhosis, enteral feeding improves nutritional status and liver   outcomes hence, more nutrition interventions should be
            function and reduces the rate of complications and prolongs   planned with motive of attaining positive nutrition balance in
            survival.  Another guideline that is ESPEN Guidelines   patients undergoing LT.
                   [91]
            for  enteral  nutrition  for  liver  disease  recommends  use  of
            more concentrated  high-energy  formulae  in  patients  with   Financial support and sponsorship
            ascites, BCAA-enriched formulae in hepatic encephalopathy   Nil.
            patients.  Administration of enteral nutrition has been shown
                   [87]
            to reduce the incidence of viral and bacterial infections. [69,87]    Conflicts of interest
            Protein restriction is rarely required for encephalopathy   There are no conflicts of interest.
            patients, if necessary, usually for not more than 48 h. The
            recommended protein supplementation should be based on   REFERENCES
            “dry” body weight and may need alteration in edematous
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            be avoided by all means. In case of hyperglycaemia glucose   cellular rejection in orthotopic liver transplantation. Liver Transpl Surg
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                                                                  Cabré E, Gassull MA. Nutritional aspects of chronic liver disease. Clin
            fatty acids lower than in traditional pure soybean oil   Nutr 1993;12:S52-63.
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                                                                  A prospective cohort study of nutritional and metabolic parameters in
            CONCLUSION                                            150 patients. Hepatology 1997;25:652-7.
                                                              13.  Miki C,  Iriyama  K,  Mayer  AD,  Buckels JA,  Harrison JD, Suzuki
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                                                                  hepatocellular carcinoma in patients with chronic liver disease. Aliment
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                                                                  1999;2:345-9.
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