Intensive Enteral Nutrition and Acute Alcoholic Hepatitis

Inclusion Criteria: * Acute alcoholic hepatitis proven by a liver biopsy (necessary histological findings : neutrophils infiltration, ballooned hepatocytes and Mallory bodies) * Presence of a severe disease, defined by a Maddrey score higher than or equal to 32, at screening and in baseline (day 0). Maddrey score = total bilirubin in mg/dl + 4,6 X (Prothrombin time patient in sec - prothrombin time control in sec) * Age between 18 and 75 years old, extremes included * Recent jaundice or in recent aggravation (less than 3 months) * Chronic alcohol consumption (more than 40 g/day) * Informed consent read, understand and signed by the patient (in case of significant encephalopathy, a family representative can signed in place of the patient) * Maximal delay between admission and randomization of 14 days. Exclusion Criteria: * Other disease compromising 6 months survival of the patient * Positive HIV or HCV serology, positive HBs Antigen * Uncontrolled bacterial or fungal infection (infection must be judged controlled for at least 3 days) * Uncontrolled upper GI bleeding (bleeding must be controlled for at least 5 days) * Type 1 Hepatorenal syndrome (creatinin upper than 2,5 mg/dl), as defined by Salerno F et al, Gut 2007;56:1310-1318 * History of bariatric surgery * Pentoxyphilline therapy * MARS therapy