ABSTRACT
Transplant ......................................................................................... 315 20.4.3 Bone Health after Liver Transplantation .......................................... 316
20.5 Summary ...................................................................................................... 317 20.6 Summary Points ........................................................................................... 317 References .............................................................................................................. 317
General health, growth, and development in infancy, childhood, and adolescence are critically dependent on nutritional status. Chronic liver disease impacts nutritional status in a multifactorial manner by disrupting energy intake and expenditure, reducing absorption of macronutrients and micronutrients and altering metabolism. This chapter provides an overview of the nutritional consequences of chronic liver disease in pediatric patients with special attention to management of these issues leading up to and after liver transplantation. Nutritional therapy is perhaps the single most important treatment that can be provided for infants and children with chronic liver disease but requires attention to details of assessment as well as management of deciencies.
