الفهرس 
Malnutrition in cirrhotic patient
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Abstract
Summary The prevalence of malnutrition in patients with cirrhosis ranges from 65 to 100% and it is associated with increased incidence of hepatic encephalopathy, variceal bleeding, refractory ascites, spontaneous bacterial peritonitis (SBP) and hepatorenal syndrome (HRS). The etiology of malnutrition in those patients is multifactorial and includes reduced nutrient intake, altered nutrient biosynthesis, impaired intestinal absorption and hypermetabolic state in those patients. The optimal method of nutritional assessment in those is difficult because many of the traditionally measured parameters, such as weight, BMI and biochemical values, vary with the severity of liver disease. This study was designed to detect the validity of different nutritional assessment modalities in cirrhotic patients. This study was conducted in Tropical Medicine Department, Faculty of Medicine, Tanta University, included 100 patients who were subjected to different nutritional assessment modalities. All patients fulfilled inclusion and exclusion criteria of the study. All studied cases were subjected to history taking, thorough clinical examination, ultra-sonography, routine liver function tests, CBC, renal function tests, serum cholesterol and triglycerides, assessment of Height, Weight, BMI, SGA, MNA, CONUT and handgrip strength.