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Dietary protein intakes in patients with hepatic encephalopathy and cirrhosis: current practice in NSW and ACT

Joanne K Heyman, Carol J Whitfield, Kaye E Brock, Geoffrey W McCaughan and Anthony J Donaghy
Med J Aust 2006; 185 (10): 542-543.
  • Joanne K Heyman1
  • Carol J Whitfield2
  • Kaye E Brock3
  • Geoffrey W McCaughan1
  • Anthony J Donaghy1

  • 1 A W Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSW.
  • 2 St Vincent’s Community Health, St Vincent’s Hospital, Sydney, NSW.
  • 3 School of Behavioural and Community Health Science, Faculty of Health Sciences, University of Sydney, Sydney, NSW.


Acknowledgements: 

We would like to thank the survey respondents for completing the questionnaire. We also thank Clare Soulsby and Marsha Morgan, authors of the British survey,6 who allowed us to modify and use their questionnaire for this survey in Australia. We also thank Sing Kai Lo for his advice regarding statistical analysis of the study data.

Competing interests:

None identified.

  • 1. Donaghy A. Issues of malnutrition and bone disease in patients with cirrhosis. J Gastroenterol Hepatol 2002; 17: 462-466.
  • 2. Sherlock S. Hepatic encephalopathy. In: Diseases of the liver and biliary system. 8th ed. Oxford: Blackwell Scientific Publications, 1989: 109-110.
  • 3. Plauth M, Merli M, Kondrup J, et al. ESPEN guidelines for nutrition in liver disease and transplantation. Clin Nutr 1997; 16: 43-55.
  • 4. Cordoba J, Lopez-Hellin J, Planas M, et al. Normal protein diet for episodic hepatic encephalopathy: results of a randomized study. J Hepatol 2004; 41: 38-43.
  • 5. Nielsen K, Kondrup J, Martinsen L, et al. Long-term oral refeeding of patients with cirrhosis of the liver. Br J Nutr 1995; 74: 557-567.
  • 6. Soulsby CT, Morgan MY. Dietary management of hepatic encephalopathy in cirrhotic patients: survey of current practice in the United Kingdom. BMJ 1999; 318: 1391.
  • 7. Owen OE, Trapp VE, Reichard GA Jr, et al. Nature and quantity of fuels consumed in patients with alcoholic cirrhosis. J Clin Invest 1983; 72: 1821-1832.

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