Abstract
High protein and high caloric diet for liver disease is widely and strongly prevailing. Contents of nutrients are changing year by year. The period has come that it is necessary to make a standard of the diet on corresponding state and stage of the liver disease and on adapting the metabolic capacity of the liver. In patients with chronic hepatitis whose metabolism of the liver is kept relatively well, 60% of them showed more than 110 in ratio of ideal body weight (IBW). It is better to adjust the ratio of their IBW between 110 and 100 and we shculd entirely concentrate on treatment of viral hepatitis. In patients with liver cirrhosis, we have to accept the concept of IBW to adapt to their poor condition of the liver function. The author has made a standard of the diet which is composed 30 kcal/kg of energy and 0.8g/kg of protein (protein score is more than 85%), stimulated the metabolic activity of the liver and good clinical effects have been obtained.
In hepatic encephalopathy associated with hyperammoniemia, 15% dextrin-maltose is emloyed to burn the excess of nitrogen, after the blood ammonia is stabilized, the amount of protein is estimated from the concentration of it, and the patients are entrusted to their domestic care. Finally, it has become possible to decrease the frequency of onset of hepatic encephalopathy in cirrhotic patients.
