EASL Clinical Practice Guidelines on nutrition in chronic liver disease

Summary A frequent complication in liver cirrhosisis malnutrition, which is associated with the progression of liver failure, and with a higher rate of complications including infections, hepatic encephalopathyand ascites. In recent years, the rising prevalence of obesity has led to an increase in the number of cirrhosiscases related to non-alcoholic steatohepatitis. Malnutrition, obesity and sarcopenic obesitymay worsen the prognosis of patients with liver cirrhosisand lower their survival. Nutritional monitoring and intervention is therefore crucial in chronic liver disease. These Clinical Practice Guidelines review the present knowledge in the field of nutrition in chronic liver diseaseand promote further research on this topic. Screening, assessment and principles of nutritional management are examined, with recommendations provided in specific settings such as hepatic encephalopathy, cirrhotic patients with bone disease, patients undergoing liver surgery or transplantation and critically ill cirrhotic patients.