膽道閉鎖兒肝移植前後之生長及骨密度狀況

Translated title of the contribution: Growth and Bone Density before and after Liver Transplantation in Children with Biliary Atresia

Hui-Ling Weng, Suh-Ching Yang, Po Huang Lee, Hong Shiee Lai, Ming Chih Ho, Mei Hwei Chang

Research output: Contribution to journalArticle

Abstract

Severe malnutrition of a chronic liver disease patient before transplantation is associated with a higher rate of morbidity, mortality and a higher incidence of post-transplantation infections, surgical complication. It also affects the duration of hospitalization and the rate of mortality after surgeon. Therefore the assessment of the nutritional status of patients with chronic liver disease is extraordinary important. The purpose of this research aims to make assessment of nutritional status of Pre- and Post- Liver Transplantation in children with Biliary Atresia in Taiwan and, by reference of the assessment, try to find out the best way for nutritional treatment for the children with Biliary Atresia. Methods: Nutritional assessment include anthropometric, dietary record and bone mineral density (measure by DEXA) were made, Pre-Liver Transplantation and one year Post-Liver Transplantation, for 30 patients (Age-average: 3.6 years old) of biliary atresia with end-stage liver disease in NTUH. Results: Before transplantation, twenty-three patients (77%) were below the 25th percentile for body height. The body height z score was -1.45 before transplantation and -0.99 after; body height is significantly improved after transplantation (p<0.05). Twenty-five patients (83%) were below the 25th percentile for body weight. The body weight z score was -1.48 before transplantation and -0.72 after, body weight is significantly improved after transplantation (p<0.0001). Protein intake, when compares with DRI (Daily recommendation intake) were no difference (p=0.402). Energy intake, when compares with DRI were below and have significant low (p<0.0001). The bone mineral density were low(p<0.0001) and have great improvement after one year of the transplantation. In conclusion, before transplantation, children with biliary atresia have problem of severe malnutrition (especially energy intake), decrease of bone mineral density and physical retardation. However, the status of bone mineral density and physical retardation could have significant improvement in the first year of transplantation, but long-term nutrition cares for post-transplantation still need more follow-ups.
Original languageTraditional Chinese
Pages (from-to)8-14
Number of pages7
Journal臺灣醫學
Volume11
Issue number1
DOIs
Publication statusPublished - 2007

Fingerprint

Biliary Atresia
Liver Transplantation
Bone Density
Transplantation
Growth
Body Height
Body Weight
Energy Intake
Nutritional Status
Malnutrition
Liver Diseases
Chronic Disease
Diet Records
Nutrition Assessment
End Stage Liver Disease
Mortality
Long-Term Care
Taiwan
Hospitalization

Cite this

膽道閉鎖兒肝移植前後之生長及骨密度狀況. / Weng, Hui-Ling; Yang, Suh-Ching; Lee, Po Huang; Lai, Hong Shiee; Ho, Ming Chih; Chang, Mei Hwei.

In: 臺灣醫學, Vol. 11, No. 1, 2007, p. 8-14.

Research output: Contribution to journalArticle

Weng, Hui-Ling ; Yang, Suh-Ching ; Lee, Po Huang ; Lai, Hong Shiee ; Ho, Ming Chih ; Chang, Mei Hwei. / 膽道閉鎖兒肝移植前後之生長及骨密度狀況. In: 臺灣醫學. 2007 ; Vol. 11, No. 1. pp. 8-14.
@article{ff207bde0d254ad29688608f1909149b,
title = "膽道閉鎖兒肝移植前後之生長及骨密度狀況",
abstract = "Severe malnutrition of a chronic liver disease patient before transplantation is associated with a higher rate of morbidity, mortality and a higher incidence of post-transplantation infections, surgical complication. It also affects the duration of hospitalization and the rate of mortality after surgeon. Therefore the assessment of the nutritional status of patients with chronic liver disease is extraordinary important. The purpose of this research aims to make assessment of nutritional status of Pre- and Post- Liver Transplantation in children with Biliary Atresia in Taiwan and, by reference of the assessment, try to find out the best way for nutritional treatment for the children with Biliary Atresia. Methods: Nutritional assessment include anthropometric, dietary record and bone mineral density (measure by DEXA) were made, Pre-Liver Transplantation and one year Post-Liver Transplantation, for 30 patients (Age-average: 3.6 years old) of biliary atresia with end-stage liver disease in NTUH. Results: Before transplantation, twenty-three patients (77{\%}) were below the 25th percentile for body height. The body height z score was -1.45 before transplantation and -0.99 after; body height is significantly improved after transplantation (p<0.05). Twenty-five patients (83{\%}) were below the 25th percentile for body weight. The body weight z score was -1.48 before transplantation and -0.72 after, body weight is significantly improved after transplantation (p<0.0001). Protein intake, when compares with DRI (Daily recommendation intake) were no difference (p=0.402). Energy intake, when compares with DRI were below and have significant low (p<0.0001). The bone mineral density were low(p<0.0001) and have great improvement after one year of the transplantation. In conclusion, before transplantation, children with biliary atresia have problem of severe malnutrition (especially energy intake), decrease of bone mineral density and physical retardation. However, the status of bone mineral density and physical retardation could have significant improvement in the first year of transplantation, but long-term nutrition cares for post-transplantation still need more follow-ups.",
keywords = "膽道閉鎖, 骨礦物質密度, 肝移植, 營養狀況, Biliary Atresia, bone mineral density, liver transplantation, nutritional status",
author = "Hui-Ling Weng and Suh-Ching Yang and Lee, {Po Huang} and Lai, {Hong Shiee} and Ho, {Ming Chih} and Chang, {Mei Hwei}",
year = "2007",
doi = "http://www.airitilibrary.com/Publication/alDetailedMesh?docid=10281916-200701-11-1-8-14-a",
language = "繁體中文",
volume = "11",
pages = "8--14",
journal = "臺灣醫學",
issn = "1028-1916",
publisher = "臺灣精神醫學會",
number = "1",

}

TY - JOUR

T1 - 膽道閉鎖兒肝移植前後之生長及骨密度狀況

AU - Weng, Hui-Ling

AU - Yang, Suh-Ching

AU - Lee, Po Huang

AU - Lai, Hong Shiee

AU - Ho, Ming Chih

AU - Chang, Mei Hwei

PY - 2007

Y1 - 2007

N2 - Severe malnutrition of a chronic liver disease patient before transplantation is associated with a higher rate of morbidity, mortality and a higher incidence of post-transplantation infections, surgical complication. It also affects the duration of hospitalization and the rate of mortality after surgeon. Therefore the assessment of the nutritional status of patients with chronic liver disease is extraordinary important. The purpose of this research aims to make assessment of nutritional status of Pre- and Post- Liver Transplantation in children with Biliary Atresia in Taiwan and, by reference of the assessment, try to find out the best way for nutritional treatment for the children with Biliary Atresia. Methods: Nutritional assessment include anthropometric, dietary record and bone mineral density (measure by DEXA) were made, Pre-Liver Transplantation and one year Post-Liver Transplantation, for 30 patients (Age-average: 3.6 years old) of biliary atresia with end-stage liver disease in NTUH. Results: Before transplantation, twenty-three patients (77%) were below the 25th percentile for body height. The body height z score was -1.45 before transplantation and -0.99 after; body height is significantly improved after transplantation (p<0.05). Twenty-five patients (83%) were below the 25th percentile for body weight. The body weight z score was -1.48 before transplantation and -0.72 after, body weight is significantly improved after transplantation (p<0.0001). Protein intake, when compares with DRI (Daily recommendation intake) were no difference (p=0.402). Energy intake, when compares with DRI were below and have significant low (p<0.0001). The bone mineral density were low(p<0.0001) and have great improvement after one year of the transplantation. In conclusion, before transplantation, children with biliary atresia have problem of severe malnutrition (especially energy intake), decrease of bone mineral density and physical retardation. However, the status of bone mineral density and physical retardation could have significant improvement in the first year of transplantation, but long-term nutrition cares for post-transplantation still need more follow-ups.

AB - Severe malnutrition of a chronic liver disease patient before transplantation is associated with a higher rate of morbidity, mortality and a higher incidence of post-transplantation infections, surgical complication. It also affects the duration of hospitalization and the rate of mortality after surgeon. Therefore the assessment of the nutritional status of patients with chronic liver disease is extraordinary important. The purpose of this research aims to make assessment of nutritional status of Pre- and Post- Liver Transplantation in children with Biliary Atresia in Taiwan and, by reference of the assessment, try to find out the best way for nutritional treatment for the children with Biliary Atresia. Methods: Nutritional assessment include anthropometric, dietary record and bone mineral density (measure by DEXA) were made, Pre-Liver Transplantation and one year Post-Liver Transplantation, for 30 patients (Age-average: 3.6 years old) of biliary atresia with end-stage liver disease in NTUH. Results: Before transplantation, twenty-three patients (77%) were below the 25th percentile for body height. The body height z score was -1.45 before transplantation and -0.99 after; body height is significantly improved after transplantation (p<0.05). Twenty-five patients (83%) were below the 25th percentile for body weight. The body weight z score was -1.48 before transplantation and -0.72 after, body weight is significantly improved after transplantation (p<0.0001). Protein intake, when compares with DRI (Daily recommendation intake) were no difference (p=0.402). Energy intake, when compares with DRI were below and have significant low (p<0.0001). The bone mineral density were low(p<0.0001) and have great improvement after one year of the transplantation. In conclusion, before transplantation, children with biliary atresia have problem of severe malnutrition (especially energy intake), decrease of bone mineral density and physical retardation. However, the status of bone mineral density and physical retardation could have significant improvement in the first year of transplantation, but long-term nutrition cares for post-transplantation still need more follow-ups.

KW - 膽道閉鎖

KW - 骨礦物質密度

KW - 肝移植

KW - 營養狀況

KW - Biliary Atresia

KW - bone mineral density

KW - liver transplantation

KW - nutritional status

U2 - http://www.airitilibrary.com/Publication/alDetailedMesh?docid=10281916-200701-11-1-8-14-a

DO - http://www.airitilibrary.com/Publication/alDetailedMesh?docid=10281916-200701-11-1-8-14-a

M3 - 文章

VL - 11

SP - 8

EP - 14

JO - 臺灣醫學

JF - 臺灣醫學

SN - 1028-1916

IS - 1

ER -