Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Practice Guideline
. 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

Stephan C Bischoff  1 , William Bernal  2 , Srinivasan Dasarathy  3 , Manuela Merli  4 , Lindsay D Plank  5 , Tatjana Schütz  6 , Mathias Plauth  7
Affiliations
Practice Guideline

ESPEN practical guideline: Clinical nutrition in liver disease

Stephan C Bischoff et al. Clin Nutr. 2020 Dec.

Abstract

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.

Keywords: Acute liver failure; Cirrhosis; Fatty liver disease; Malnutrition; Sarcopenia; Transplantation.

PubMed Disclaimer

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.

Publication types

LinkOut - more resources