ESPEN Scientific Guidelines

ESPEN guidelines on nutrition in cancer patients


Cancers are among the leading causes of morbidity and mortality worldwide, and the number of new cases is expected to rise significantly over the next decades. At the same time, all types of cancer treatment, such as surgery, radiation therapy, and pharmacological therapies are improving in sophistication, precision and in the power to target specific […]

ESPEN guideline on Clinical Nutrition in inflammatory bowel disease


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 them ESPEN practical  guideline on Clinical Nutrition in Inflammatory Bowel Disease published in 2020. All recommendations have been checked and, if needed, revised based […]

European guideline on obesity care in patients with gastrointestinal and liver diseases


Patients with chronic gastrointestinal (GI) 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 […]

ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Lipids


Methods Literature search timeframe: The references cited in the previous guidelines [1] are not repeated here, except for some relevant publications, and only the previous guidelines are cited instead. All publications published after the previous guidelines (i.e., from January 2004 to December 2014), have been considered for the first draft of this manuscript. Randomized controlled […]

ESPGHAN/ESPEN/ESPR guidelines on pediatric parenteral nutrition: Amino acids


Methods Search: Searches were performed in three stages. First, all the titles with the relevant key words were retrieved by the Cochrane Collaboration Department from Budapest, who also performed the first reduction. Publications published after the previous guidelines [1] (i.e., from 2004eDecember 2014), were considered. Members of the Working Group subsequently read all the titles […]

ESPGHAN/ESPEN/ESPR guidelines on pediatric parenteral nutrition: Energy


Methods Medline search, Pub-Med search. Timeframe: publications from 2004 to 2016 were used to update the previous recommendations from 2005. Type of publications: original papers, meta-analyses, experts’ recommendations, overviews. Key words: Energy expenditure, total parenteral nutrition, intensive care, critical care, prematurity, equations. Language: English Introduction Energy supply needs to meet the nutritional needs of the […]

ESPEN guideline on home enteral nutrition


This guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home enteral nutrition (HEN) providers about the indications and contraindications for HEN, and its implementation and monitoring. Home parenteral nutrition is not included but will be addressed in a separate ESPEN guideline. This guideline will also inform interested patients requiring HEN. The guideline is […]

ESPEN micronutrient guideline


Trace elements and vitamins, named together micronutrients (MNs), are essential for human metabolism. Recent research has shown the importance of MNs in common pathologies, with significant deficiencies impacting the outcome. Objective This guideline aims to provide information for daily clinical nutrition practice regarding assessment of MN status, monitoring, and prescription. It proposes a consensus terminology, […]