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欧洲临床营养与代谢学会(ESPEN)炎症性肠病临床营养指南

ESPEN guideline on Clinical Nutrition in inflammatory bowel disease.

作者信息

Bischoff Stephan C, Bager Palle, Escher Johanna, Forbes Alastair, Hébuterne Xavier, Hvas Christian Lodberg, Joly Francisca, Klek Stansilaw, Krznaric Zeljko, Ockenga Johann, Schneider Stéphane, Shamir Raanan, Stardelova Kalina, Bender Darija Vranesic, Wierdsma Nicolette, Weimann Arved

机构信息

Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.

Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.

出版信息

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

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.

摘要

本指南是2017年首次发布的ESPEN炎症性肠病临床营养科学指南的更新与扩展。该指南已根据2020年发布的ESPEN炎症性肠病临床营养实用指南进行了重新编排。所有建议均经过检查,并在需要时根据新文献进行了修订,然后才进入ESPEN共识程序。此外,还增加了关于微生物群调节作为炎症性肠病治疗新选择的新章节。在指南更新中,建议数量增加到了71条。本指南面向在医院或门诊从事临床实践并治疗炎症性肠病患者的专业人员。文中讨论了炎症性肠病患者护理的一般方面,以及疾病活动期和缓解期的具体方面。所有建议都配有证据等级、共识率、简短注释以及引用文献的链接。

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