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Practice Guideline
. 2023 Mar;42(3):352-379.
doi: 10.1016/j.clnu.2022.12.004. Epub 2023 Jan 13.

ESPEN guideline on Clinical Nutrition in inflammatory bowel disease

Stephan C Bischoff  1 , Palle Bager  2 , Johanna Escher  3 , Alastair Forbes  4 , Xavier Hébuterne  5 , Christian Lodberg Hvas  6 , Francisca Joly  7 , Stansilaw Klek  8 , Zeljko Krznaric  9 , Johann Ockenga  10 , Stéphane Schneider  11 , Raanan Shamir  12 , Kalina Stardelova  13 , Darija Vranesic Bender  14 , Nicolette Wierdsma  15 , Arved Weimann  16
Affiliations
Practice Guideline

ESPEN guideline on Clinical Nutrition in inflammatory bowel disease

Stephan C Bischoff et al. Clin Nutr. 2023 Mar.

Abstract

The present guideline is an update and extension of the ESPEN scientific guideline on Clinical Nutrition in Inflammatory Bowel Disease published first in 2017. The guideline has been rearranged according to the ESPEN practical guideline on Clinical Nutrition in Inflammatory Bowel Disease published in 2020. All recommendations have been checked and, if needed, revised based on new literature, before they underwent the ESPEN consensus procedure. Moreover, a new chapter on microbiota modulation as a new option in IBD treatment has been added. The number of recommendations has been increased to 71 recommendations in the guideline update. The guideline is aimed at professionals working in clinical practice, either in hospitals or in outpatient medicine, and treating patients with IBD. General aspects of care in patients with IBD, and specific aspects during active disease and in remission are addressed. All recommendations are equipped with evidence grades, consensus rates, short commentaries and links to cited literature.

Keywords: Crohn's disease; Malnutrition; Microbiota; Obesity; Ulcerative colitis.

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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 with legitimate interest upon request to the ESPEN executive.

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