Jeff Feinman VMD, CVH  — Weston, Connecticut  — Call: 203.222.7979

Friday, 25 November 2011 23:09

The Importance of Diet in The Management of Liver Disease (for veterinarians)

Written by  Dr. Sharon Center
Rate this item
(0 votes)

Nutritional intake in the patient with hepatobiliary disease provides the cornerstone of balanced medical care. Optimal recommendations require consideration of general nutritional principles, special species requirements and contemporary needs uniquely related to the patient's medical problem.

 

Although general recommendations follow well-established guidelines developed to meet metabolic requirements for normal health, there is little information regarding altered requirements in animals that are ill. Consequently, recommendations for animals have been derived empirically from studies completed in humans, most work having been done in patients with end stage cirrhosis or liver failure complicated by hepatic encephalopathy. This is problematic because most veterinary patients with liver disease are not in hepatic failure and do not suffer from hepatic encephalopathy. Iatrogenic malnutrition can develop in patients when protein-restricted diets are inappropriately recommended. Insufficient energy intake and negative nitrogen balance can complicate a patient’s condition, impairing tissue regeneration and recovery from disease. This paper reviews strategies that can be used to individualize nutritional management in small companion animals with hepatobiliary disease. Consideration is given to both the known and controversial issues regarding energy requirements, dietary energy distribution, vitamin and micronutrient supple- mentation, the special requirements of the cat with hepatic lipidosis, as well as strategies effective for palliation of hepatic encephalopathy.    J. Nutr. 128: 2733S–2746S, 1998.



Learn much more here in this great article about nutritional management of the veterinary patient with liver disease:

Read 5338 times Last modified on Sunday, 01 January 2012 19:50
Login to post comments
 
 

Patient UpdatesUpdate us on your pets progress

Appointments
Pet Problem? How can I help?

Become a new client Learn more about my veterinary practice

Sitemap © 1996 - 2011 Home Vet All Rights Reserved - Website Designed by Akira Studio Ltd.