Bischoff SC, Bernal W, Dasarathy S, Merli M, Plank LD, Schütz T, Plauth M, et al.
Clinical nutrition (Edinburgh, Scotland). Date of publication 2020 Dec 1;volume 39(12):3533-3562.
1. Clin Nutr. 2020 Dec;39(12):3533-3562. doi: 10.1016/j.clnu.2020.09.001. Epub 2020
Oct 27.
ESPEN practical guideline: Clinical nutrition in liver disease.
Bischoff SC(1), Bernal W(2), Dasarathy S(3), Merli M(4), Plank LD(5), Schütz
T(6), Plauth M(7).
Author information:
(1)Department for Clinical Nutrition, University of Hohenheim, Stuttgart,
Germany. Electronic address: bischoff.stephan@uni-hohenheim.de.
(2)Institute of Liver Studies, King's College Hospital, London, United Kingdom.
(3)Division of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH,
USA.
(4)Gastroenterology and Hepatology Unit, Sapienza University of Rome, Rome,
Italy.
(5)Department of Surgery, University of Auckland, Auckland, New Zealand.
(6)IFB Adiposity Diseases, Leipzig University Medical Centre, Leipzig, Germany.
(7)Department of Internal Medicine, Municipal Hospital of Dessau, Dessau,
Germany.
BACKGROUND: The Practical guideline is based on the current scientific ESPEN
guideline on Clinical Nutrition in Liver Disease.
METHODS: It has been shortened and transformed into flow charts for easier use in
clinical practice. The guideline is dedicated to all professionals including
physicians, dieticians, nutritionists and nurses working with patients with
chronic liver disease.
RESULTS: A total of 103 statements and recommendations are presented with short
commentaries for the nutritional and metabolic management of patients with (i)
acute liver failure, (ii) alcoholic steatohepatitis, (iii) non-alcoholic fatty
liver disease, (iv) liver cirrhosis, and (v) liver surgery/transplantation. The
disease-related recommendations are preceded by general recommendations on the
diagnostics of nutritional status in liver patients and on liver complications
associated with medical nutrition.
CONCLUSION: This practical guideline gives guidance to health care providers
involved in the management of liver disease to offer optimal nutritional care.
Copyright © 2020 European Society for Clinical Nutrition and Metabolism.
Published by Elsevier Ltd.. All rights reserved.
DOI: 10.1016/j.clnu.2020.09.001
PMID: 33213977
Conflict of interest statement: Conflict of interest The expert members of the
working group were accredited by the ESPEN Guidelines Group, the ESPEN Education
and Clinical Practice Committee, and the ESPEN executive. All expert members have
declared their individual conflicts of interest according to the rules of the
International Committee of Medical Journal Editors (ICMJE). If potential
conflicts were indicated, they were reviewed by the ESPEN guideline officers and,
in cases of doubts, by the ESPEN executive. None of the expert panel had to be
excluded from the working group or from co-authorship because of serious
conflicts. The conflict of interest forms are stored at the ESPEN guideline
office and can be reviewed by ESPEN members with legitimate interest upon request
to the ESPEN executive.
