Evidence map›Paper›PMID 35959597›Full record

GuidelineUnited European gastroenterology journal2022

European guideline on obesity care in patients with gastrointestinal and liver diseases - Joint European Society for Clinical Nutrition and Metabolism / United European Gastroenterology guideline.

Stephan C Bischoff, Rocco Barazzoni, Luca Busetto, Marjo Campmans-Kuijpers, Vincenzo Cardinale, Irit Chermesh, Ahad Eshraghian, Haluk Tarik Kani, Wafaa Khannoussi, Laurence Lacaze and 9 more

Open access · hybridAbstract readReviewPractice Guideline
In one paragraph

Guideline in United European gastroenterology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Guideline
  5. Article
  6. Inflammatory Bowel Disease in Children and Young People Living With Overweight or Obesity: A Critical Narrative Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  7. Article
  8. Polish Expert Consensus on Metabolic and Bariatric Surgery: 2025 update.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Quantitative Assessment of Body Composition in Cirrhosis.Diagnostics (Basel, Switzerland) · 2024
    Review
  13. Review
  14. Quality of clinical guidelines: It matters as it impacts patient care.United European gastroenterology journal · 2024
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Obesity and novel management of inflammatory bowel disease.World journal of gastroenterology · 2023
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 18 institutions in 13 countries.

Stephan C BischoffInstitute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.ORCID 0000-0003-2614-5948
Rocco BarazzoniDepartment of Medical, Technological and Translational Sciences, University of Trieste, Trieste, Italy.ORCID 0000-0002-4049-2404
Luca BusettoDepartment of Medicine, University of Padova, Padova, Italy.ORCID 0000-0003-4883-8980
Marjo Campmans-KuijpersDepartment of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0002-8111-6026
Vincenzo CardinaleDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-0234-3341
Irit ChermeshDepartment of Gastroenterology, Rambam Health Care Campus, Affiliated with Technion-Israel Institute of Technology, Haifa, Israel.
Ahad EshraghianDepartment of Gastroenterology and Hepatology, Avicenna Hospital, Shiraz, Iran.ORCID 0000-0003-0751-5712
Haluk Tarik KaniDepartment of Gastroenterology, Marmara University, School of Medicine, Istanbul, Turkey.ORCID 0000-0003-0042-9256
Wafaa KhannoussiHepato-Gastroenterology Department, Mohammed VI University Hospital, Oujda, Morocco.ORCID 0000-0001-6444-7416
Laurence LacazeDepartment of Nutrition, Rennes Hospital, Rennes, France.ORCID 0000-0002-5828-0485
Miguel Léon-SanzDepartment of Endocrinology and Nutrition, University Hospital Doce de Octubre, Medical School, University Complutense, Madrid, Spain.ORCID 0000-0001-7006-0461
Juan M MendiveLa Mina Primary Care Academic Health Centre. Catalan Institute of Health (ICS), University of Barcelona, Barcelona, Spain.ORCID 0000-0001-8095-7707
Michael W MüllerDepartment of General and Visceral Surgery, Regionale Kliniken Holding, Kliniken Ludwigsburg-Bietigheim gGmbH, Bietigheim-Bissingen, Germany.ORCID 0000-0002-4717-357X
Johann OckengaMedizinische Klinik II, Klinikum Bremen-Mitte, Bremen, Germany.ORCID 0000-0001-8795-5253
Frank TackeDepartment of Hepatology & Gastroenterology, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany.ORCID 0000-0001-6206-0226
Anders ThorellDepartment of Clinical Science, Danderyds Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-7238-1728
Darija Vranesic BenderDepartment of Internal Medicine, Unit of Clinical Nutrition, University Hospital Centre Zagreb, Zagreb, Croatia.ORCID 0000-0001-7153-4753
Arved WeimannDepartment of General, Visceral and Oncological Surgery, St. George Hospital, Leipzig, Germany.ORCID 0000-0001-5474-2171
Cristina CuerdaDepartamento de Medicina, Universidad Complutense de Madrid, Nutrition Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0002-7081-622X
Universidad Complutense de Madrid · ESCentre Hospitalier du Mans · FRCharité - Universitätsmedizin Berlin · DEDanderyds sjukhus · SEFachverband Gebäude-Klima (Germany) · DEHafez Hospital · IRInstitut Català d'Ornitologia · ESKlinikum Bremen-Mitte · DEMarmara University · TRMohamed I University · MASapienza University of Rome · ITSt. George Hospital · INTechnion – Israel Institute of Technology · ILUniversity Hospital Centre Zagreb · HRUniversity Medical Center Groningen · NLUniversity of Hohenheim · DEUniversity of Padua · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients 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 diagnostic and treatment that differs from the needs of lean GI patients. The present guideline addresses this question according to current knowledge and evidence.

objectiveThe objective of the guideline is to give advice to all professionals working in the field of gastroenterology care including physicians, surgeons, dietitians and others how to handle patients with GI disease and obesity.

methodsThe present guideline was developed according to the standard operating procedure for European Society for Clinical Nutrition and Metabolism guidelines, following the Scottish Intercollegiate Guidelines Network grading system (A, B, 0, and good practice point [GPP]). The procedure included an online voting (Delphi) and a final consensus conference.

resultsIn 100 recommendations (3x A, 33x B, 24x 0, 40x GPP, all with a consensus grade of 90% or more) care of GI patients with obesity - including sarcopenic obesity - is addressed in a multidisciplinary way. A particular emphasis is on CLD, especially fatty 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.

conclusionThe present guideline offers for the first time evidence-based advice how to care for patients with chronic GI diseases and concomitant obesity, an increasingly frequent constellation in clinical practice.

Indexed as

Celiac DiseaseGastroenterologyGastroesophageal RefluxInflammatory Bowel DiseasesIrritable Bowel SyndromeLiver DiseasesPancreatitisSarcopeniaAdultChildHumansObesitybariatric surgeryceliac diseasecirrhosisgastroesophageal reflux diseaseinflammatory bowel diseaseirritable bowel syndromenon-alcoholic fatty liver diseaseobesitypancreatitissarcopenic obesity

Identifiers

PMID35959597
PMCPMC9486502
OpenAlexW4294344956

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.