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...Abstract nutrition and management of hepatic encephalopathy jin woo lee m d ph department internal medicine division gastroenterology hepatology inha university school incheon korea it has been estimated that at least patients with liver cirrhosis experience during the natural history disease is more frequent in severe also malnutrition common considered a significant prognostic factor affecting quality life outcome survival inadequate intake nutrients hypermetabolic state diminished synthetic capacity impaired absorption are themain reasons disrupt metabolic balance general approach to cirrhotic initial most important step for clinician recognize extent unfortunately child pugh turcotte classification model end stage meld do not include an assessment nutritional status spite fact plays role morbidity mortality failure date practice dietary protein restriction deeply embedded among medical practitioners dietitians however negative effects clear increased catabolism release amino acids ...