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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorBischoff, Stephan
dc.contributor.authorEscher, Johanna
dc.contributor.authorHébuterne, Xavier
dc.contributor.authorKlek, Stanislaw
dc.contributor.authorKrznaric, Zeljko
dc.contributor.authorSchneider, Stéphane M.
dc.contributor.authorBurgos Peláez, Rosa
dc.date.accessioned2022-09-12T10:47:43Z
dc.date.available2022-09-12T10:47:43Z
dc.date.issued2022-05
dc.identifier.citationBischoff SC, Escher J, Hébuterne X, Kłęk S, Krznaric Z, Schneider S, et al. Guía ESPEN: nutrición clínica en la enfermedad inflamatoria intestinal. Nutr Hosp. 2022 May-Jun;39(3):678–703.
dc.identifier.issn1699-5198
dc.identifier.urihttp://hdl.handle.net/11351/8167
dc.descriptionCrohn’s disease; Ulcerative colitis; Nutritional therapy
dc.description.abstractIntroduction: the ESPEN Guideline offers a multidisciplinary focus on clinical nutrition in inflammatory bowel disease (IBD). Methodology: the guideline is based on a extensive systematic review of the literature, but relies on expert opinion when objective data are lacking or inconclusive. The conclusions and 64 recommendations have been subject to full peer review and a Delphi process, in which uniformly positive responses (agree or strongly agree) were required. Results: IBD is increasingly common and potential dietary factors in its etiology are briefly reviewed. Malnutrition is highly prevalent in IBD — especially in Crohn’s disease. Increased energy and protein requirements are observed in some patients. The management of malnutrition in IBD is considered within the general context of support for malnourished patients. Treatment of iron deficiency (parenterally, if necessary) is strongly recommended. Routine provision of a special diet in IBD is not, however, supported. Parenteral nutrition is indicated only when enteral nutrition has failed or is impossible. The recommended perioperative management of patients with IBD undergoing surgery accords with general ESPEN guidance for patients having abdominal surgery. Probiotics may be helpful in UC but not in Crohn’s disease. Primary therapy using nutrition to treat IBD is not supported in ulcerative colitis but is moderately well supported in Crohn’s disease, especially in children, where the adverse consequences of steroid therapy are proportionally greater. However, exclusion diets are generally not recommended and there is little evidence to support any particular formula feed when nutritional regimens are constructed. Conclusions: available objective data to guide nutritional support and primary nutritional therapy in IBD are presented as 64 recommendations, of which 9 are very strong recommendations (grade A), 22 are strong recommendations (grade B), and 12 are based only on sparse evidence (grade 0); 21 recommendations are good practice points (GPP).
dc.language.isospa
dc.publisherArán ediciones
dc.relation.ispartofseriesNutrición Hospitalaria;39(3)
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.sourceScientia
dc.subjectIntestins - Inflamació - Tractament
dc.subjectNutrició enteral
dc.subjectMalnutrició
dc.subject.meshInflammatory Bowel Diseases
dc.subject.mesh/therapy
dc.subject.meshEnteral Nutrition
dc.titleGuía ESPEN: nutrición clínica en la enfermedad inflamatoria intestinal
dc.title.alternativeESPEN Guideline: clinical nutrition in inflammatory bowel disease
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.20960/nh.03857
dc.subject.decsenfermedad inflamatoria intestinal
dc.subject.decs/terapia
dc.subject.decsnutrición enteral
dc.relation.publishversionhttp://dx.doi.org/10.20960/nh.03857
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Bischoff SC] Departamento de Nutrición Clínica, Universität Hohenheim, Stuttgart, Alemania. [Escher J] Erasmus Medical Center-Sophia Kinderziekenhuis, Rotterdam, Países Bajos. [Hébuterne X, Schneider S] Gastroenterología y Nutrición Clínica, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Niza, Francia. [Kłęk S] Unidad de Cirugía General y Oncológica, Szpital Wielospecjalistyczny im, Stanleya Dudricka, Skawina, Polonia. [Krznaric Z] Klinički Bolnički Centar Zagreb, Sveučilište u Zagrebu, Zagreb, Croacia. [Burgos Peláez R] Unitat de Suport Nutricional, Vall d’Hebron Hospital Universitari, Barcelona, Spain
dc.identifier.pmid35014851
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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