Experience with Administration of a Branched-chain Amino Acid- and Carnitine-enriched Enteral Nutrient as a Late Evening Snack in a Patient with Hepatic Cirrhosis

In nutrition therapy for patients with liver cirrhosis, not only administration of branched-chain amino acid (BCAA)-containing preparations but also lateevening snack (LES) therapy is recommended to prevent the starvation-like state in these patients associated with abnormal energy metabolism in the early morning fasting condition. In the present study, we examined the usefulness of a BCAA- and carnitine-enriched enteral nutrient (ENEVO, Abbott Japan Co., LTD.) as an LES in a patient with liver cirrhosis who refused consumption of another enteral nutrient administered as part of the management of hepatic failure, as it produced abdominal distention.