Japanese Journal of Transplantation
Online ISSN : 2188-0034
Print ISSN : 0578-7947
ISSN-L : 0578-7947
Significance of sarcopenia and the effect of nutrition and rehabilitation therapy in liver transplantation
Toshimi KAIDOShinji UEMOTO
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2018 Volume 53 Issue 6 Pages 327-335

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Abstract

Patients undergoing liver transplantation (LT) are often associated with secondary sarcopenia owing to malnutrition, liver failure, and surgery. However, the impact of sarcopenia on outcomes after LT was unclear until several years ago. Therefore, we investigated the present status and significance of sarcopenia in patients undergoing LT. Based on the findings of our study, we revised our criteria for LT, considering sarcopenia and body composition, and started aggressive interventions, including perioperative nutrition therapy and rehabilitation for patients undergoing LT. As a result, the 1-year overall survival rate has dramatically improved to 98%. In this review, we introduce our efforts and innovations focusing on the significance of sarcopenia in LT.

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この記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
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