Clinical Nutrition 42 (2023)352-3795Contents lists available at ScienceDirectCLINICALNUTRITIONClinical NutritionELSEVIERjournal homepage:http://www.elsevier.com/locate/cInuESPEN GuidelineESPEN guideline on Clinical Nutrition in inflammatory bowel diseaseStephan C.Bischoff,Palle Bagerb,Johanna Escher,Alastair Forbesd,Xavier Hebuterne e,Christian Lodberg Hvasb,Francisca Joly,Stansilaw Klek,Zeljko Krznaric Johann Ockenga Stephane Schneider,Raanan ShamirkKalina Stardelova Darija Vranesic Bender m,Nicolette Wierdsma n,Arved WeimannoInstitute of Nutritional Medicine,University of Hohenheim,Stuttgart,GermanyDepartment of Hepatologyand Castroenterology.Aarhus University Hospital,Aarhus,DenmarkErasmus Medical Center-Sophia Children's Hospital,Rotterdam,the NetherlandsInstitute of Clinical Medicine,University of Tartu Tartu Estoniae Department of Gastroenterology and Clinical Nutrition,CHU of Nice,University Cote d'Azur,Nice,FranceDepartment of Gastroenterology and Nutrition Support,CHU de Beaujon,APHP.University of Paris,Paris,FranceSurgical Oncology Cinic,Maria Sklodowska-Curie National Cancer Institute,Krakow,PolandDepartment of Gastroenterology.Hepatology and Nutrition,University Hospital Centre Zagreb,University of Zagreb,CroatiaMedizinische Klinik Il.Klinikum Bremen-Mitte,Bremen FRG.Bremen,GermanyDepartment of Gastroenterology and Clinical Nutrition,CHU de Nice,University Cote d'Azur,Nice,Francek Institute for Gastroenterdlogy.Nutrition and Liver Diseases,Schneider Children's Medical Center of Israel Sacker Faculty of Medicine.Tel Aviv University.Tel Aviv,IsraelUniversity Clinic for Gastroenterohepatology.Cinical Campus"Mother Theresa".University St Cyrul and Methodius,Skopje,North Macedoniam Unit of Cinical Nutrition,Department of Internal Medicine,University Hospital Centre Zagreb.Zagreb,CroatiaDepartment of Nutrition and Dietetics,Amsterdam University Medical Centers,Amsterdam,the NetherlandsDepartment of General,Visceral and Oncological Surgery.St.George Hospital,Leipzig.GemanyARTICLE INFOSUMMARYArticle history:The present guideline is an update and extension of the ESPEN scientific guideline on Clinical Nutrition inReceived 5 December 2022Inflammatory Bowel Disease published first in 2017.The guideline has been rearranged according to theAccepted 5 December 2022ESPEN practical guideline on Clinical Nutrition in Inflammatory Bowel Disease published in 2020.All rec-ommendations have been checked and,if needed,revised based on new literature,before they underwentKeyords:the ESPEN consensus procedure.Moreover,a new chapter on microbiota modulation as a new option in IBDCrohn's diseasetreatment has been added.The number of recommendations has been increased to 71 recommendations inUlcerative colitisMalnutritionthe guideline update.The guideline is aimed at professionals working in clinical practice,either in hospitalsObesityor in outpatient medicine,and treating patients with IBD.General aspects of care in patients with IBD,andMicrobiotaspecific aspe
