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...To know the pathophysiology and consequences of malnutrition in cirrhosis liver how diagnose treat introduction nutritional risk chronic disease patients effect state on undernutrition overnutrition status surgery transplantation nutrient requirements energy carbohydrate metabolism fat protein amino acid vitamins minerals nutrition therapy alcoholic steatohepatitis ash non nash perioperative summary references copyright by espen lll programme expect severe requiring immediate treatment hypermetabolism are associated with a poor prognosis ensure adequate intake total kcalkgbw d use indirect calorimetry if available provide enough gkgbw bcaa after gastrointestinal bleeding hepatic encephalopathy grades iii iv as fuel recommended fatty ratio n enteral tube or sip feeding parenteral alone is not sufficient avoid refeeding syndrome vitamin trace element deficiencies has long been recognized prognostic therapeutic determinant was therefore included one variables original score introduced chi...