الفهرس 
Metabolic Changes In chronic Liver DiseasesOnly 14 pages are availabe for public view
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Abstract
Chronic liver diseases affect widely normal physiology and metabolism of liver. It causes an increase the frequency of hyperglycemia associated with increase serum insulin levels, lipid abnormalities mostly hypertriglyceridemia, alterations in the serum levels of proteins as albumin and those involved in coagulation, and lastly fat soluble vitamins.
The etiology of malnutrition in chronic liver disease:
Decreased intake
Decreased absorption
Metabolic alterations
Iatrogenic factors
The critically-ill patient as cirrhotic patients needs a special nutritional support to:
Correct the associated metabolic changes.
Cope with the increased energy expenditure.
Overcome the associated negative nitrogen balance.
Thus, nutritional support should be tailored to meet the patient’s requirements, which are carried out through dividing nutritional contents into macronutrients including proteins, fats and carbohydrates and micronutrients which include water, minerals and vitamins.