Stephan C Bischoff1, William Bernal2, Srinivasan Dasarathy3, Manuela Merli4, Lindsay D Plank5, Tatjana Schütz6, Mathias Plauth7. 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.
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.
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.
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