Karaciğer Transplantasyonu ve Tıbbi Beslenme Tedavisi
Yıl 2022,
, 1619 - 1627, 22.12.2022
Ayça Aydın
,
Zehra Margot Celik
Öz
Dünyada ve ülkemizde böbrekten sonra transplantasyonu en sık yapılan solid organ karaciğerdir. Vücuttaki en büyük ve en önemli metabolik organ karaciğer olduğu için yetersizliğinde vücutta pek çok metabolik yolak aksamaktadır. Son dönem karaciğer yetmezliği (SDKY) görülen hastalarda insülin direnci ve glikoz intoleransı gelişebilmektedir. Karaciğer transplantasyonuna hazırlanan hastaların ameliyat öncesi süreçte ameliyatın risklerinin en aza indirilmesi ve ameliyattan sonraki süreçte komplikasyonların önlenmesi için beslenme müdahalesi tedavinin önemli bir parçasıdır. Bu makalede, literatürde bulunan karaciğer transplantasyonu öncesi ve sonrası beslenme yaklaşımlarıyla ilgili yayınlar derlenmiştir.
Kaynakça
- 1. Karakayali, H. ve Haberal, M. (2005). “The history and activities of transplantation in Turkey”. In Transplantation Proceedings, 37 (7), 2905-2908. doi:10.1016/j.transproceed.2005.07.025
- 2. İzmir Katip Çelebi Üniversitesi. (2016). “Organ Bağışı”. Erişim Adresi: https://yasam.ikcu.edu.tr/S/11426/organ-bagisi (Erişim Tarihi: 17.01.2021)
- 3. Murray, J.E, Merrill, J.P. ve Harrison J.H. (1955). “Renal homotransplantation in identical twins”. Journal of the American Society of Nephrology (6), 432–436. doi:10.1681/ASN.V121201
- 4. Fricker, J. (2017). “Thomas Starzl OBITUARY”. doi: 10.1136/bmj.j1806
- 5. Diniz, G, Tugmen, C. ve Sert, İ. (2019). “Türkiye ve Dünyada Organ Transplantasyonu”. Tepecik Eğitim ve Araştırma Hastanesi Dergisi, 29 (1), 1-10.
- 6. T.C. Sağlık Bakanlığı. (2000). “Sağlık Bakanlığı Ulusal Organ ve Doku Nakli Koordinasyon Merkezi”. Erişim adresi: http://organ.saglik.gov.tr (Erişim Tarihi: 30.05.2020)
- 7. T.C. Sağlık Bakanlığı. (2000). “Karar Destek Sistemi” Erişim adresi: https://organkds.saglik.gov.tr Erişim Tarihi: 01.04.2021
- 8. Türker, P. (2015). Beslenme ve Diyetetik Güncel Konular. Tayfur M, Ayhan N, (Ed.) Solid organ transplantasyonunda tıbbi beslenme tedavisi (197-209). Ankara: Hatipoğlu.
- 9. Hammad, A, Kaido, T, Aliyev, V, Mandato, C. ve Uemoto, S. (2017). “Nutritional therapy in liver transplantation”. Nutrients, 9 (10), 1126. doi: 10.3390/nu9101126
- 10. Wischmeyer, P.E, Carli, F, Evans, D.C, Guilbert, S, Kozar, R, Pryor, A. vd. Perioperative Quality Initiative. (2018). “American society for enhanced recovery and perioperative quality initiative joint consensus statement on nutrition screening and therapy within a surgical enhanced recovery pathway”. Anesthesia & Analgesia, 126 (6), 1883-1895.
- 11. Nishida, T, Tsuji, S, Tsujii, M, Arimitsu, S, Haruna Y, Imano, E. vd. (2006). “Oral glucose tolerance test predicts prognosis of patients with liver cirrhosis”. Am J Gastroenterol 101, 70-75. doi: 10.1210/js.2017-00183
- 12. Mirabella, S, Brunati, A, Ricchiuti, A, Pierini, A, Franchello, A. ve Salizzoni, M. (2005). “New-onset diabetes after liver transplantation”. Transplant Proc, 37, 2636-2637. doi: 10.3748/wjg.v21.i20.6329
- 13. Lunati, M.E, Grancini, V. ve Agnelli, F. (2013). “Metabolic syndrome after liver transplantation: short-term prevalence and pre- and post-operative risk factors”. Dig Liver Dis, 45, 833-839. doi: 10.17554/j.issn.2224-3992.2020.09.884
- 14. Sanchez, A. J. ve Aranda‐Michel, J. (2006). “Nutrition for the liver transplant patient”. Liver transplantation, 12 (9), 1310-1316. doi: 10.1002/lt20894.
- 15. Sugihara, K, Yamanaka-Okumura, H, Teramoto, A, Urano, E, Katayama, T, Morine, Y, Takeda, E. vd. (2015). “Recovery of nutritional metabolism after liver transplantation”. Nutrition, 31 (1),105-110. doi: 10.3748/wjg.v22.i4.1513
- 16. Kaido, T, Ogawa, K, Fujimoto, Y, Ogura, Y, Hata, K, Ito, T, Tomiyama, K, Yagi, S, Mori, A. ve Uemoto, S. (2013). “Impact of sarcopenia on survival in patients undergoing living donor liver transplantation”. Am. J. Transplant, 13, 1549-1556. doi: 10.1002/ajt.12221
- 17. Weimann, A, Braga, M, Harsanyi, L, Laviano, A, Ljungqvist, O, Soeters, P, Kuse, E. R. vd. (2006). “ESPEN guidelines on enteral nutrition: surgery including organ transplantation”. Clinical nutrition, 25 (2), 224-244. doi: 10.1016/j.clnu.2006.01.015
- 18. McClave, S.A, Martindale, R.G. ve Vanek, V.W. (2009). “Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition”. J Parenter Enteral Nutr, 33: 277-316. doi: 10.1177/0148607115621863.
- 19. Bakshi, N. ve Singh, K. (2014). “Nutrition assessment in patients undergoing liver transplant”. Indian J Crit Care Med, 18, 672–681. doi: 10.4103/0972-5229.142177
- 20. Plauth, M, Cabre, E. ve Riggio, O. (2006). “ESPEN guidelines on enteral nutrition: liver disease”. Clin Nutr, 25: 285–294. doi: 10.1016/j.clnu.2018.12.022
- 21. Tsien, C.D, McCullough, A.J. ve Dasarathy, S. (2012). “Late evening snack: exploiting a period of anabolic opportunity in cirrhosis”. J Gastroenterol Hepatol, 27, 430-441. doi: https://doi.org/10.1111/j.1440-1746.2011.06951.x
- 22. Amodio, P, Bemeur, C, Butterworth, R, Cordoba, J, Kato, A, Montagnese, S. vd. (2013). “The nutritional management of hepatic encephalopathy in patients with cirrhosis: International Society for Hepatic Encephalopathy and Nitrogen Metabolism Consensus”. Hepatology, 58:325-336. doi: 10.1002/hep.26370
- 23. Martindale, R.G, McClave, S.A, Vanek, V.W. vd. (2009). “Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition”. Crit Care Med, 37, 1-30. doi: https://doi.org/10.3918/jsicm.23.185
- 24. Le Cornu, K.A, McKiernan, F.J, Kapadia, S.A. ve Neuberger, J.M. (2000). “A prospective randomized study of preoperative nutritional supplementation in patients awaiting elective orthotopic liver transplantation”. Transplantation, 69, 1364-1369. doi: 10.3390/nu9101126
- 25. Shirabe, K, Yoshimatsu, M. ve Motomura, T. vd. (2011). “Beneficial effects of supplementation with branched-chain amino acids on postoperative bacteremia in living donor liver transplant recipients”. Liver Transpl, 17 (9), 1073-1080. doi: 10.1016/j.clnu.2018.12.022
- 26. Stickel, F, Inderbitzin, D. ve Candinas, D. (2008). “Role of nutrition in liver transplantation for end-stage chronic liver disease”. Nutrition reviews, 66 (1), 47-54. doi: 10.1111/j.1753-4887.2007.00005.x
- 27. Anastácio, L.R. ve Correia, M.I. (2016). “Nutrition therapy: Integral part of liver transplant care”. World J. Gastroenterol, 22, 1513-1522. doi: 10.3748/wjg.v22.i4.1513
- 28. Merli, M, Giusto, M, Giannelli, V, Lucidi, C. ve Riggio, O. (2011). “Nutritional status and liver transplantation”. Journal of clinical and experimental hepatology, 1 (3), 190-198. doi: 10.1016/S0973-6883(11)60237-5
- 29. Richardson, R.A, Garden, O.J. ve Davidson, H.I. (2001). “Reduction in energy expenditure after liver transplantation”. Nutrition, 17, 585-589. doi: 10.1016/S0899-9007(01)00571-8. doi: 10.3390/nu9101126
- 30. Merli, M, Giusto, M, Gentili, F, Novelli, G, Ferretti, G, Riggio, O, Corradini, S.G, Siciliano, M, Farcomeni, A, Attili, A.F. vd. (2010). “Nutritional status, its influence on the outcome of patients undergoing liver transplantation”. Liver Int, 30, 208-214. doi: 10.1111/j.1478-3231.2009.02135.x
- 31. Hasse, J.M, Blue, L.S, Liepa, G.U, vd. (1995). “Early enteral nutrition support in patients undergoing liver transplantation”. JPEN J Parenter Enteral Nutr, 19, 437-43. doi: 10.1016/j.clnu.2018.12.022
- 32. Kaido, T, Mori, A, Ogura, Y, Hata, K, Yoshizawa, A, Lida, A, et al. (2010). “Impact of enteral nutrition using a new immuno-
modulating diet after liver transplantation”. Hepatogastroenterology, 57, 1522-1525. doi: 10.3390/nu9101126
- 33. Masuda, T, Shirabe, K, Yoshiya, S, Matono, R, Morita, K, Hashimoto, N, Maehara, Y. vd. (2013). “Nutrition support and infections associated with hepatic resection and liver transplantation in patients with chronic liver disease”. Journal of Parenteral and Enteral Nutrition, 37 (3), 318-326. doi: 10.1177/0148607112456041
- 34. Chin, S.E, Shepherd, R.W, Thomas, B.J, vd. (1992). “Nutritional support in children with end-stage liver disease: a randomized crossover trial of a branched-chain amino acid supplement”. Am J Clin Nutr, 56, 158-163.
Liver Transplantation and Medical Nutrition Therapy
Yıl 2022,
, 1619 - 1627, 22.12.2022
Ayça Aydın
,
Zehra Margot Celik
Öz
Liver is the most frequently transplanted solid organ after kidney in the world and in our country. Since the liver is the largest and most important metabolic organ in the body, many metabolic pathways are disrupted in its insufficiency. Insulin resistance and glucose intolerance may develop in patients with end-stage liver disease (ESLD). To minimize the risks of surgery in the preoperative period and to prevent complications in the postoperative period nutritional intervention is an important part of the treatment of patients who are preparing for liver transplantation. In this article, publications on nutritional approaches preoperative and postoperative liver transplantation in the literature have been reviewed.
Kaynakça
- 1. Karakayali, H. ve Haberal, M. (2005). “The history and activities of transplantation in Turkey”. In Transplantation Proceedings, 37 (7), 2905-2908. doi:10.1016/j.transproceed.2005.07.025
- 2. İzmir Katip Çelebi Üniversitesi. (2016). “Organ Bağışı”. Erişim Adresi: https://yasam.ikcu.edu.tr/S/11426/organ-bagisi (Erişim Tarihi: 17.01.2021)
- 3. Murray, J.E, Merrill, J.P. ve Harrison J.H. (1955). “Renal homotransplantation in identical twins”. Journal of the American Society of Nephrology (6), 432–436. doi:10.1681/ASN.V121201
- 4. Fricker, J. (2017). “Thomas Starzl OBITUARY”. doi: 10.1136/bmj.j1806
- 5. Diniz, G, Tugmen, C. ve Sert, İ. (2019). “Türkiye ve Dünyada Organ Transplantasyonu”. Tepecik Eğitim ve Araştırma Hastanesi Dergisi, 29 (1), 1-10.
- 6. T.C. Sağlık Bakanlığı. (2000). “Sağlık Bakanlığı Ulusal Organ ve Doku Nakli Koordinasyon Merkezi”. Erişim adresi: http://organ.saglik.gov.tr (Erişim Tarihi: 30.05.2020)
- 7. T.C. Sağlık Bakanlığı. (2000). “Karar Destek Sistemi” Erişim adresi: https://organkds.saglik.gov.tr Erişim Tarihi: 01.04.2021
- 8. Türker, P. (2015). Beslenme ve Diyetetik Güncel Konular. Tayfur M, Ayhan N, (Ed.) Solid organ transplantasyonunda tıbbi beslenme tedavisi (197-209). Ankara: Hatipoğlu.
- 9. Hammad, A, Kaido, T, Aliyev, V, Mandato, C. ve Uemoto, S. (2017). “Nutritional therapy in liver transplantation”. Nutrients, 9 (10), 1126. doi: 10.3390/nu9101126
- 10. Wischmeyer, P.E, Carli, F, Evans, D.C, Guilbert, S, Kozar, R, Pryor, A. vd. Perioperative Quality Initiative. (2018). “American society for enhanced recovery and perioperative quality initiative joint consensus statement on nutrition screening and therapy within a surgical enhanced recovery pathway”. Anesthesia & Analgesia, 126 (6), 1883-1895.
- 11. Nishida, T, Tsuji, S, Tsujii, M, Arimitsu, S, Haruna Y, Imano, E. vd. (2006). “Oral glucose tolerance test predicts prognosis of patients with liver cirrhosis”. Am J Gastroenterol 101, 70-75. doi: 10.1210/js.2017-00183
- 12. Mirabella, S, Brunati, A, Ricchiuti, A, Pierini, A, Franchello, A. ve Salizzoni, M. (2005). “New-onset diabetes after liver transplantation”. Transplant Proc, 37, 2636-2637. doi: 10.3748/wjg.v21.i20.6329
- 13. Lunati, M.E, Grancini, V. ve Agnelli, F. (2013). “Metabolic syndrome after liver transplantation: short-term prevalence and pre- and post-operative risk factors”. Dig Liver Dis, 45, 833-839. doi: 10.17554/j.issn.2224-3992.2020.09.884
- 14. Sanchez, A. J. ve Aranda‐Michel, J. (2006). “Nutrition for the liver transplant patient”. Liver transplantation, 12 (9), 1310-1316. doi: 10.1002/lt20894.
- 15. Sugihara, K, Yamanaka-Okumura, H, Teramoto, A, Urano, E, Katayama, T, Morine, Y, Takeda, E. vd. (2015). “Recovery of nutritional metabolism after liver transplantation”. Nutrition, 31 (1),105-110. doi: 10.3748/wjg.v22.i4.1513
- 16. Kaido, T, Ogawa, K, Fujimoto, Y, Ogura, Y, Hata, K, Ito, T, Tomiyama, K, Yagi, S, Mori, A. ve Uemoto, S. (2013). “Impact of sarcopenia on survival in patients undergoing living donor liver transplantation”. Am. J. Transplant, 13, 1549-1556. doi: 10.1002/ajt.12221
- 17. Weimann, A, Braga, M, Harsanyi, L, Laviano, A, Ljungqvist, O, Soeters, P, Kuse, E. R. vd. (2006). “ESPEN guidelines on enteral nutrition: surgery including organ transplantation”. Clinical nutrition, 25 (2), 224-244. doi: 10.1016/j.clnu.2006.01.015
- 18. McClave, S.A, Martindale, R.G. ve Vanek, V.W. (2009). “Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition”. J Parenter Enteral Nutr, 33: 277-316. doi: 10.1177/0148607115621863.
- 19. Bakshi, N. ve Singh, K. (2014). “Nutrition assessment in patients undergoing liver transplant”. Indian J Crit Care Med, 18, 672–681. doi: 10.4103/0972-5229.142177
- 20. Plauth, M, Cabre, E. ve Riggio, O. (2006). “ESPEN guidelines on enteral nutrition: liver disease”. Clin Nutr, 25: 285–294. doi: 10.1016/j.clnu.2018.12.022
- 21. Tsien, C.D, McCullough, A.J. ve Dasarathy, S. (2012). “Late evening snack: exploiting a period of anabolic opportunity in cirrhosis”. J Gastroenterol Hepatol, 27, 430-441. doi: https://doi.org/10.1111/j.1440-1746.2011.06951.x
- 22. Amodio, P, Bemeur, C, Butterworth, R, Cordoba, J, Kato, A, Montagnese, S. vd. (2013). “The nutritional management of hepatic encephalopathy in patients with cirrhosis: International Society for Hepatic Encephalopathy and Nitrogen Metabolism Consensus”. Hepatology, 58:325-336. doi: 10.1002/hep.26370
- 23. Martindale, R.G, McClave, S.A, Vanek, V.W. vd. (2009). “Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition”. Crit Care Med, 37, 1-30. doi: https://doi.org/10.3918/jsicm.23.185
- 24. Le Cornu, K.A, McKiernan, F.J, Kapadia, S.A. ve Neuberger, J.M. (2000). “A prospective randomized study of preoperative nutritional supplementation in patients awaiting elective orthotopic liver transplantation”. Transplantation, 69, 1364-1369. doi: 10.3390/nu9101126
- 25. Shirabe, K, Yoshimatsu, M. ve Motomura, T. vd. (2011). “Beneficial effects of supplementation with branched-chain amino acids on postoperative bacteremia in living donor liver transplant recipients”. Liver Transpl, 17 (9), 1073-1080. doi: 10.1016/j.clnu.2018.12.022
- 26. Stickel, F, Inderbitzin, D. ve Candinas, D. (2008). “Role of nutrition in liver transplantation for end-stage chronic liver disease”. Nutrition reviews, 66 (1), 47-54. doi: 10.1111/j.1753-4887.2007.00005.x
- 27. Anastácio, L.R. ve Correia, M.I. (2016). “Nutrition therapy: Integral part of liver transplant care”. World J. Gastroenterol, 22, 1513-1522. doi: 10.3748/wjg.v22.i4.1513
- 28. Merli, M, Giusto, M, Giannelli, V, Lucidi, C. ve Riggio, O. (2011). “Nutritional status and liver transplantation”. Journal of clinical and experimental hepatology, 1 (3), 190-198. doi: 10.1016/S0973-6883(11)60237-5
- 29. Richardson, R.A, Garden, O.J. ve Davidson, H.I. (2001). “Reduction in energy expenditure after liver transplantation”. Nutrition, 17, 585-589. doi: 10.1016/S0899-9007(01)00571-8. doi: 10.3390/nu9101126
- 30. Merli, M, Giusto, M, Gentili, F, Novelli, G, Ferretti, G, Riggio, O, Corradini, S.G, Siciliano, M, Farcomeni, A, Attili, A.F. vd. (2010). “Nutritional status, its influence on the outcome of patients undergoing liver transplantation”. Liver Int, 30, 208-214. doi: 10.1111/j.1478-3231.2009.02135.x
- 31. Hasse, J.M, Blue, L.S, Liepa, G.U, vd. (1995). “Early enteral nutrition support in patients undergoing liver transplantation”. JPEN J Parenter Enteral Nutr, 19, 437-43. doi: 10.1016/j.clnu.2018.12.022
- 32. Kaido, T, Mori, A, Ogura, Y, Hata, K, Yoshizawa, A, Lida, A, et al. (2010). “Impact of enteral nutrition using a new immuno-
modulating diet after liver transplantation”. Hepatogastroenterology, 57, 1522-1525. doi: 10.3390/nu9101126
- 33. Masuda, T, Shirabe, K, Yoshiya, S, Matono, R, Morita, K, Hashimoto, N, Maehara, Y. vd. (2013). “Nutrition support and infections associated with hepatic resection and liver transplantation in patients with chronic liver disease”. Journal of Parenteral and Enteral Nutrition, 37 (3), 318-326. doi: 10.1177/0148607112456041
- 34. Chin, S.E, Shepherd, R.W, Thomas, B.J, vd. (1992). “Nutritional support in children with end-stage liver disease: a randomized crossover trial of a branched-chain amino acid supplement”. Am J Clin Nutr, 56, 158-163.