| Theme | Nutritional Guidance for Hemodialysis Patients with Complications | |
|---|---|---|
| Title | The diseases of liver, biliary tract and pancreas | |
| Publish Date | 1998/12 | |
| Author | Takamichi Nakamura | Division of Blood Transfusion, Yamanashi Medical College |
| Author | Fusako Teramoto | Department of Clinical Nutrition, Kawasaki University of Medical Welfare |
| [ Summary ] | Nutritional treatment for hemodialysis patients with diseases of the liver, biliary tract or pancreas is discussed. Patients with acute phase hepatitis should receive necessary intravenous supplementation of the correct caloric values. For patients with compensatory phase chronic hepatitis or cirrhosis, instruction should be given concerning nutritionally balanced meals designed for their conditions. Protein restriction is indicated for non-compensatory phase cirrhosis patients with hyperammonemia or hepatic encephalopathy. Branched-chain amino acid preparations should be used to compensate for protein shortages. Patients should be instructed to consume vegetable fats or fish oil, which contains abundant quantities of polyatomic unsaturated fatty acids. They should be instructed to do so rather than excessively restricting all fat intake. If the patient has ascites, sodium intake should be restricted to not more than 5g/day. Patients with acute phase cholelithiasis should fast along with intravenous alimentation. At the asymptomatic phase restricted consumption of animal fats along with regular meals should be advised. Acute phase pancreatitis patients should continue to fast as well as receive intravenous alimentation. In the recovery phase, restriction of fat intake and supplimentation of lipid-solible vitamins should be recommended. For patients with chronic pancreatitis, restriction of fat intake should be recommended in the compensatory phase. In the non-compensatory phase, restriction of fat and general caloric intake, including protein, should be advised for the dietary program of these dialysis patients. |
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