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Introduction: Background: the Practical Guideline is based on the current scientific ESPEN guide on Clinical Nutrition in Liver Disease. Methods: it has been shortened and transformed into flow charts for easier use in clinical practice. The guideline is dedicated to all professionals including physicians, dieticians, nutritionists and nurses working with patients with chronic liver disease. Results: a total of 103 statements and recommendations are presented with short commentaries for the nutritional and metabolic management of patients with (i) acute liver failure, (ii) alcoholic steatohepatitis, (iii) non-alcoholic fatty liver disease, (iv) liver cirrhosis, and (v) liver surgery/transplantation. Disease-related recommendations are preceded by general recommendations on the diagnosis of nutritional status in liver patients and on liver complications associated with medical nutrition. Conclusion: this Practical Guideline gives guidance to health care providers involved in the management of liver disease on how to offer optimal nutritional care. [ABSTRACT FROM AUTHOR]

Introduction. Fatty liver disease has become the most common cause of liver injury; it is considered as the hepatic manifestation of metabolic syndrome, and its prevalence is rapidly increasing worldwide. Our objective was to determine if fatty liver disease was the main cause of consultation in our Research Center for Gastrointestinal and Liver Diseases, Hidalgo, Mexico, during the years 2015-2017. Material and Methods. Descriptive, transversal, observational and retrospective study. We revised and collected medical records from all the patients that attended for medical consultation at our Research Center during the study period. We obtained data related to findings compatible with fatty liver disease in any of its spectrum (NAFLD, NASH, cirrhosis), and we performed statistical analysis by using central tendency and dispersion measures. Results. From 1,936 revised medical files, we found data compatible with fatty liver in any of its varieties in 454 (23.4%), being 212 male (46.7%) and 242 female (53.3%), with an average age of 46.3 years; data compatible with NASH were found in 131 (6.7%), being female 63 (48.1%) and 68 were male (51.9%), with an average age of 47.9 years. 91 patients presented fatty liver-related cirrhosis (4.7%), being female 54 (59.3%) and male 37 (40.7%), with an average age of 62.2 years. Discussion. In our Research Center, fatty liver disease, in any of its varieties, covers the 23.4% from the total of causes of medical care, constituting the main cause of attention. It presents predominantly in women, and its NAFLD variety was found to be the most common. [ABSTRACT FROM AUTHOR]