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Liver and Biliary Disease

Nutrition has a central prognostic and therapeutic role in the management of individuals with liver disease.

Non-Alcoholic Fatty Liver Disease (NAFLD)

Non-Alcoholic Fatty Liver Disease is one of the most common forms of liver disease worldwide and one that can progress to advanced liver damage. NAFLD is characterised by the build-up of excess fat in the liver of people who do not drink more than recommended guideline amounts of alcohol. The first stage is fatty liver, or steatosis. This is where fat accumulates in the liver cells without any inflammation or scarring. The good news is that this is completely reversible with diet and life-style changes!

Liver Resection Surgery (Hepatectomy)

Nutrition assessment before and after liver surgery is an important part of your surgical pathway. Prevention and treatment of undernutrition before surgery ensures you are in the best shape possible to have your operation. Nutritional optimization preoperatively has also been shown to improve post-operative outcomes. If you are struggling after your operation to return to your usual intake, nutrition counselling can provide strategies to assist, and nutrition supplementation can be an effective short-term measure to ensure your body has all the substrates it needs for a full and fast recovery.

Primary Biliary Cirrhosis (PBC) and Primary Sclerosing Cholangitis (PSC)

PBC and PSC are two chronic cholestatic liver diseases. Several processes result in the nutritional complications of chronic liver diseases in general, but cholestasis plays a particularly significant role. In PBC and PSC the failure of bile components to reach the intestinal lumen in sufficient amounts to form micelles for fat absorption can lead to malabsorption, steatorrhoea, weight loss, malnutrition, metabolic bone disease and vitamin deficiencies.