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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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 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 \u2013 including sarcopenic obesity \u2013 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The present guideline offers for the first time evidence\u2010based advice how to care for patients with chronic GI diseases and concomitant obesity, an increasingly frequent constellation in clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ueg2.12280","type":"journal-article","created":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T08:06:48Z","timestamp":1660291608000},"page":"663-720","source":"Crossref","is-referenced-by-count":49,"title":["European guideline on obesity care in patients with gastrointestinal and liver diseases \u2013 Joint European Society for Clinical Nutrition and Metabolism \/ United European Gastroenterology guideline"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2614-5948","authenticated-orcid":false,"given":"Stephan C.","family":"Bischoff","sequence":"first","affiliation":[{"name":"Institute of Nutritional Medicine University of Hohenheim Stuttgart Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4049-2404","authenticated-orcid":false,"given":"Rocco","family":"Barazzoni","sequence":"additional","affiliation":[{"name":"Department of Medical, Technological and Translational Sciences University of Trieste Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4883-8980","authenticated-orcid":false,"given":"Luca","family":"Busetto","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Padova Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8111-6026","authenticated-orcid":false,"given":"Marjo","family":"Campmans\u2010Kuijpers","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University Medical Centre Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0234-3341","authenticated-orcid":false,"given":"Vincenzo","family":"Cardinale","sequence":"additional","affiliation":[{"name":"Department of Medico\u2010Surgical Sciences and Biotechnologies Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irit","family":"Chermesh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Rambam Health Care Campus Affiliated with Technion\u2010Israel Institute of Technology Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0751-5712","authenticated-orcid":false,"given":"Ahad","family":"Eshraghian","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Avicenna Hospital Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0042-9256","authenticated-orcid":false,"given":"Haluk Tarik","family":"Kani","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6444-7416","authenticated-orcid":false,"given":"Wafaa","family":"Khannoussi","sequence":"additional","affiliation":[{"name":"Hepato\u2010Gastroenterology Department Mohammed VI University Hospital Oujda Morocco"},{"name":"Laboratoire de Recherche des Maladies Digestives (LARMAD) Mohammed the First University Oujda Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5828-0485","authenticated-orcid":false,"given":"Laurence","family":"Lacaze","sequence":"additional","affiliation":[{"name":"Department of Nutrition Rennes Hospital Rennes France"},{"name":"Department of general surgery Mantes\u2010la\u2010Jolie Hospital France"},{"name":"Department of clinical nutrition Paul Brousse\u2010Hospital, Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7006-0461","authenticated-orcid":false,"given":"Miguel","family":"L\u00e9on\u2010Sanz","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition University Hospital Doce de Octubre Medical School University Complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8095-7707","authenticated-orcid":false,"given":"Juan M.","family":"Mendive","sequence":"additional","affiliation":[{"name":"La Mina Primary Care Academic Health Centre. 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