cirrhotic patients undergoing LTx are not well investigated. 1,2 The clinical relevance of malnutrition and hypermePatients with fulminant hepatic failure, patients over 40 tabolism in end-stage liver disease, as well as their efyears of age with postnecrotic cirrhosis, patients with maligfects on survival after liver transplantation (LTx), are nant disease, children with malnutrition, and hepatitis B largely unknown. This study investigates the prognostic and delta virus carriers have been suggested to have inferior value of nutritional and metabolic parameters obtained survival after LTx. [3][4][5][6][7][8] In addition, some dynamic tests like before LTx for survival after LTx. One hundred fifty pathe monoethylglycinexylide test, plasma amino acid levels tients with end-stage liver disease undergoing LTx were and clearance, the branched-chain to aromatic amino acid assessed prospectively and followed for a mean period ratio, and the arterial ketone body ratio have been shown to of 46 { 16 months after LTx. All patients were randomhave some prognostic value in patients undergoing LTx. 9 ized into a study group and a validation group, each However, the consequences of malnutrition and hypermecomprising 75 patients. Body composition analysis (24-tabolism on the liver transplantation patient have not been hour urinary creatinine excretion, anthropometry, bioadequately addressed in clinical studies. Malnutrition is a electrical impedance analysis), deviation of measured common finding in patients with advanced liver disease, and from predicted resting energy expenditure (DREE), most transplantation candidates show at least mild nutriyear of transplantation, and several variables known to tional depletion at the time of initial evaluation. 9,10 Although be of prognostic relevance in patients with liver disease individual nutritional parameters lack sensitivity in patients undergoing conservative treatment were analyzed.with end-stage liver disease, it is known that protein calorie Kaplan-Meier and log rank analysis showed that hypermalnutrition is widely prevalent in these patients. 11,12 metabolic patients (DREE ú /20%) and patients with a Clinical evaluation of nutritional status was associated body cell mass (BCM) õ 35% of body weight tended to with outcome after abdominal surgery and survival after LTx have reduced survival after LTx. A risk profile on the in studies by Garrison and Shaw. 13,14 The only reported risk basis of DREE and BCM identified patients with high score for 6-month survival after LTx by Shaw et al. considrisk (5-year survival rate, 54%) and low risk (5-year surered malnutrition as a potentially reversible component. 14 A vival rate, 88%; P õ .01). The predictive power of this drawback of the Shaw equation is that his malnutrition score risk profile was independent of the presence of ascites is based on subjective assessment rather than objective criteand clinical edema, and its validity was confirmed in the ria. Our study investigates the use of objective nutritional validation group (P õ .0...
