eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution：China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor：Chinese Nursing Association
Source journal for Chinese Science Citation Database
China Academic Journals Full-text Database
China Core Journal Alternative Database
Scopus
Chinese Journal of Nursing Education

Chinese Journal of Nursing Education >

2021 , Vol. 18 >Issue 9: 784 - 788

DOI: https://doi.org/10.3761/j.issn.1672-9234.2021.09.003

Chronic Disease Management

Evidence summary of enteral nutrition management in patients with cirrhosis ascites

  • Run-zhu WANG ,
  • Ye LIU ,
  • Mi-na ZHU ,
  • Li-hua HUANG
Expand

Received date: 2020-10-06

  Online published: 2021-09-27

Fold

Abstract

Objective To summarize the best evidence of enteral nutrition management in patients with cirrhosis ascites. Methods Evidences of enteral nutrition management in patients with cirrhosis ascites were retrieved from the databases of UpToDate,BMJ Best Practice,Cochrane Library,PubMed,NICE,China Biomedical Literature Database,and Wanfang database from the inception to June 2020. The evidence resources could be systematic review,guideline,evidence summary,expert consensus,clinical decision making,and practice recommendation. The Joanna Briggs Institute（JBI） evidence-based health care center corresponding quality assessment tools for the system evaluation and expert consensus for quality assessment were both used for the quality assessment. The 2017 update of AGREE Ⅱ guide standards for guide literature evaluation was used to determine the quality level of evidence. Results A total of 8 papers were included with one systematic review,six guidelines and one expert consensus. A total of 18 best evidences were summarized from five aspects：nutritional assessment of patients with cirrhosis ascites,various nutritional intake requirements,enteral nutrition routes,enteral nutrition forms,and education and follow-up. Conclusion Evidence summary of enteral nutrition management for patients with cirrhosis ascites comes from multiple countries and regions in and out of China. The paper provides evidence-based basis for management of enteral nutrition in patients with cirrhosis ascites for medical workers in the future.

Key words： Ascites; Liver Cirrhosis; Enteral Nutrition; Evidence-Based Nursing

Cite this article

Run-zhu WANG , Ye LIU , Mi-na ZHU , Li-hua HUANG . Evidence summary of enteral nutrition management in patients with cirrhosis ascites[J]. Chinese Journal of Nursing Education, 2021 , 18(9) : 784 -788 . DOI: 10.3761/j.issn.1672-9234.2021.09.003

References

[1] Planas R, Montoliu S, Ballesté B, et al. Natural history of patients hospitalized for management of cirrhotic ascites[J]. Clin Gastroenterol Hepatol, 2006, 4(11):1385-1394.
[2] Krag A, Bendtsen F, Henriksen JH, et al. Low cardiac output predicts development of hepatorenal syndrome and survival in patients with cirrhosis and ascites[J]. Gut, 2010, 59(1):105-110.
[3] 曹海霞, 范建高. 肝硬化患者营养评估及营养支持治疗[J]. 实用肝脏病杂志, 2014, 17(5):459-462.
[3] Cao HX, Fan JG. Nutritional assessment and support treatment of patients with liver cirrhosis[J]. J Pract Hepatol, 2014, 17(5):459-462.
[4] Kalaitzakis E, Simrén M, Olsson R, et al. Gastrointestinal symptoms in patients with liver cirrhosis:associations with nutritional status and health-related quality of life[J]. Scand J Gastroenterol, 2006, 41(12):1464-1472.
[5] Dicenso A, Bayley L, Haynes RB. Accessing pre-appraised evidence:fine-tuning the 5S model into a 6S model[J]. Evid-Based Nurs, 2009, 12(4):99-101.
[6] 汪茂荣. 《国际肝性脑病和氮质代谢共识》解读:肝硬化患者肝性脑病的营养管理[J]. 实用肝脏病杂志, 2013, 16(4):303-305.
[6] Wang MR. Interpretation of “international hepatic encephalopathy and nitrogen metabolism consensus”:nutritional management of hepatic encephalopathy in patients with liver cirrhosis[J]. J Clin Hepatol, 2013, 16(4):303-305.
[7] 孔明, 段钟平. 欧洲肠外肠内营养学会(ESPEN)关于肝病肠内营养的指南(2006)[J]. 北京医学, 2011, 33(12):1007-1013.
[7] Kong M, Duan ZP. European Society of Parenteral Enteral Nutrition(ESPEN)Guidelines on Enteral Nutrition for Liver Diseases(2006)[J]. Beijing Med J, 2011, 33(12):1007-1013.
[8] 中华医学会肝病学分会, 中华医学会消化病学分会. 终末期肝病临床营养指南[J]. 实用肝脏病杂志, 2019, 22(5):624-635.
[8] Chinese Society of Hepatology of Chinese Medical Association, Chinese Society of Gastroenterology of Chinese Medical Association. Clinical guidelines on nutrition in end-stage liver disease[J]. J Pract Hepatol, 2019, 22(5):624-635.
[9] 顾莺, 张慧文, 周英凤, 等. JBI循证卫生保健中心关于不同类型研究的质量评价工具——系统评价的方法学质量评价[J]. 护士进修杂志, 2018, 33(8):701-703.
[9] Gu Y, Zhang HW, Zhou YF, et al. JBI evidence-based health center’s quality assessment tool for different types of research——the quality evaluation of diagnostic and economic evaluation[J]. J Nurses Train, 2018, 33(8):701-703.
[10] Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ：advancing guideline development,reporting and evaluation in health care[EB/OL].(2019-12-15)[2019-07-10]. http://www.agreetrust.org .
[11] The Joanna Briggs Institute. Joanna Briggs Institute reviewers’ manual[M]. Australia:The Joanna Briggs Institute, 2016.
[12] Balshem H, Helfanda M, Schunemann HJ, 等. GRADE指南:Ⅲ.证据质量分级[J]. 中国循证医学杂志, 2011, 11(4):451-455.
[12] Balshem H, Helfanda M, Schunemann HJ, et al. GRADE guideline:3. Rating the quality of eidence[J]. Chin J Evid-based Med, 2011, 11(4):451-455.
[13] Plauth M, Bernal W, Dasarathy S, et al. ESPEN guideline on clinical nutrition in liver disease[J]. Clin Nutr, 2019, 38(2):485-521.
[14] 中华医学会肝病学分会. 肝硬化腹水及相关并发症的诊疗指南[J]. 中华肝脏病杂志, 2017, 25(9):664-677.
[14] Chinese Society of Hepatology of Chinese Medical Association. Guidelines on the management of ascites and complications in cirrhosis[J]. Chin J Hepatol, 2017, 25(9):664-677.
[15] Fukui H, Saito H, Ueno Y, et al. Evidence-based clinical practice guidelines for liver cirrhosis 2015[J]. J Gastroenterol, 2016, 51(7):629-650.
[16] European Association for the Study of the Liver. EASL Clinical Practice Guidelines on nutrition in chronic liver disease[J]. J Hepatol, 2019, 70(1):172-193.
[17] Korean Association for the Study of the Liver（KASL）. KASL clinical practice guidelines for liver cirrhosis:ascites and related complications[J]. Clin Mol Hepatol, 2018, 24(3):230-277.
[18] 贾娟娟, 张文青, 方燕芬. 长期支链氨基酸肠内营养支持对肝硬化患者营养状况和预后影响的Meta分析[J]. 医学综述, 2020, 26(3):613-618,624.
[18] Jia JJ, Zhang WQ, Fang YF. Effects of long-term enteral nutrition with branched-chain amino acids on nutritional status and prognosis for cirrhosis:a meta-analysis[J]. Med Recapitul, 2020, 26(3):613-618,624.
[19] 北京医学会肠外肠内营养学专业委员会, 《慢性肝病患者肠外肠内营养支持与膳食干预专家共识》专家委员会. 慢性肝病患者肠外肠内营养支持与膳食干预专家共识[J]. 临床肝胆病杂志, 2017, 33(7):1236-1245.
[19] Committee of Parenteral and Enteral Nutrition of Beijing Medical Association, Expert Panel on Consensus on Parenteral and Enteral Nutritional and Dietary Intervention for Patients with Chronic Liver Disease. Consensus on parenteral and enteral nutrition support and dietary intervention for patients with chronic liver disease[J]. J Clin Hepatol, 2017, 33(7):1236-1245.
[20] Anand AC. Nutrition and muscle in cirrhosis[J]. J Clin Exp Hepatol, 2017, 7(4):340-357.
[21] Tandon P, Ney M, Irwin I, et al. Severe muscle depletion in patients on the liver transplant wait list:its prevalence and independent prognostic value[J]. Liver Transpl, 2012, 18(10):1209-1216.
[22] Boullata JI, Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy[J]. JPEN J Parenter Enteral Nutr, 2017, 41(1):15-103.
[23] The European Association for the Study of the Liver. EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis[J]. J Hepatol, 2018, 69(2):406-460.
[24] Hasse JM, DiCecco SR. Enteral nutrition in chronic liver disease:translating evidence into practice[J]. Nutr Clin Pract, 2015, 30(4):474-487.
[25] Shergill R, Syed W, Rizvi SA, et al. Nutritional support in chronic liver disease and cirrhotics[J]. World J Hepatol, 2018, 10(10):685-694.
[26] 赵敏. 肝硬化患者营养评价和营养支持的研究现状[J]. 胃肠病学和肝病学杂志, 2015, 24(7):887-890.
[26] Zhao M. The research status of nutrition assessment and nutri-tional support in patients with cirrhosis[J]. Chin J Gastroenterol Hepatol, 2015, 24(7):887-890.
[27] Morando F, Rosi S, Gola E, et al. Adherence to a moderate sodium restriction diet in outpatients with cirrhosis and ascites:a real life cross-sectional study[J]. Liver International, 2015, 35(5):1508-1515.
Options
Outlines

/

〈 〉