Practical guideline on obesity care in patients with gastrointestinal and liver diseases - Joint ESPEN/UEG guideline.

Autor: Bischoff SC; Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany. Electronic address: bischoff.stephan@uni-hohenheim.de., Ockenga J; Medizinische Klinik II, Klinikum Bremen-Mitte, Bremen FRG, Bremen, Germany. Electronic address: johann.ockenga@klinikum-bremen-mitte.de., Eshraghian A; Department of Gastroenterology and Hepatology, Avicenna Hospital, Shiraz, Iran. Electronic address: eshraghiana@yahoo.com., Barazzoni R; Department of Medical, Technological and Translational Sciences, University of Trieste, Ospedale di Cattinara, Trieste, Italy. Electronic address: barazzon@units.it., Busetto L; Department of Medicine, University of Padova, Padova, Italy. Electronic address: luca.busetto@unipd.it., Campmans-Kuijpers M; Department of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands. Electronic address: m.j.e.campmans-kuijpers@umcg.nl., Cardinale V; Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy. Electronic address: vincenzo.cardinale@uniroma1.it., Chermesh I; Department of Gastroenterology, Rambam Health Care Campus, Affiliated with Technion-Israel Institute of Technology, Haifa, Israel. Electronic address: i_chermesh@rambam.health.gov.il., Kani HT; Department of Gastroenterology, Marmara University, School of Medicine, Istanbul, Turkey. Electronic address: drhtkani@gmail.com., Khannoussi W; Hepato-Gastroenterology Department, Mohammed VI University Hospital, Oujda, Morocco; and Laboratoire de Recherche des Maladies Digestives (LARMAD), Mohammed the First University, Oujda, Morocco. Electronic address: wkhannoussi@yahoo.com., Lacaze L; Department of General Surgery, Mantes-la-Jolie Hospital, Mantes-la-Jolie, France. Electronic address: lacaze.laurence@gmail.com., Léon-Sanz M; Department of Endocrinology and Nutrition, University Hospital Doce de Octubre, Medical School, University Complutense, Madrid, Spain. Electronic address: miguelle@ucm.es., Mendive JM; La Mina Primary Care Academic Health Centre, Catalan Institute of Health (ICS), University of Barcelona, Barcelona, Spain. Electronic address: juanmmendive@gmail.com., Müller MW; Department of General and Visceral Surgery, Regionale Kliniken Holding, Kliniken Ludwigsburg-Bietigheim gGmbH, Krankenhaus Bietigheim, Bietigheim-Bissingen, Germany. Electronic address: michael.mueller@rkh-gesundheit.de., Tacke F; Department of Hepatology & Gastroenterology, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany. Electronic address: frank.tacke@charite.de., Thorell A; Department of Clinical Science, Danderyds Hospital, Karolinska Institutet & Department of Surgery, Ersta Hospital, Stockholm, Sweden. Electronic address: anders.thorell@erstadiakoni.se., Vranesic Bender D; Unit of Clinical Nutrition, Department of Internal Medicine, University Hospital Centre Zagreb, Zagreb, Croatia. Electronic address: dvranesi@kbc-zagreb.hr., Weimann A; Department of General, Visceral and Oncological Surgery, St. George Hospital, Leipzig, Germany. Electronic address: Arved.Weimann@sanktgeorg.de., Cuerda C; Departamento de Medicina, Universidad Complutense de Madrid, Nutrition Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain. Electronic address: cuerda.cristina@gmail.com.
Jazyk: angličtina
Zdroj: Clinical nutrition (Edinburgh, Scotland) [Clin Nutr] 2023 Jun; Vol. 42 (6), pp. 987-1024. Date of Electronic Publication: 2023 Apr 10.
DOI: 10.1016/j.clnu.2023.03.021
Abstrakt: Background: Patients with chronic gastrointestinal disease such as inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), celiac disease, gastroesophageal reflux disease (GERD), pancreatitis, and chronic liver disease (CLD) often suffer from obesity because of coincidence (IBD, IBS, celiac disease) or related pathophysiology (GERD, pancreatitis and CLD). It is unclear if such patients need a particular diagnostic and treatment that differs from the needs of lean gastrointestinal patients. The present guideline addresses this question according to current knowledge and evidence.
Objective: The present practical guideline is intended for clinicians and practitioners in general medicine, gastroenterology, surgery and other obesity management, including dietitians and focuses on obesity care in patients with chronic gastrointestinal diseases.
Methods: The present practical guideline is the shortened version of a previously published scientific guideline developed according to the standard operating procedure for ESPEN guidelines. The content has been re-structured and transformed into flow-charts that allow a quick navigation through the text.
Results: In 100 recommendations (3× A, 33× B, 24 × 0, 40× GPP, all with a consensus grade of 90% or more) care of gastrointestinal patients with obesity - including sarcopenic obesity - is addressed in a multidisciplinary way. A particular emphasis is on CLD, especially metabolic associated liver disease, since such diseases are closely related to obesity, whereas liver cirrhosis is rather associated with sarcopenic obesity. A special chapter is dedicated to obesity care in patients undergoing bariatric surgery. The guideline focuses on adults, not on children, for whom data are scarce. Whether some of the recommendations apply to children must be left to the judgment of the experienced pediatrician.
Conclusion: The present practical guideline offers in a condensed way evidence-based advice how to care for patients with chronic gastrointestinal diseases and concomitant obesity, an increasingly frequent constellation in clinical practice.
(Copyright © 2023 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: