2019年欧洲临床营养和代谢学会再次发布了肝病临床营养指南，历时2年余进行更新和补充，统一了肠内和肠外营养推荐意见，首次提出了非酒精性脂肪性肝病、肝硬化合并骨病、肝硬化合并肥胖、肝硬化合并肌肉减少症和营养相关肝损伤等方面的推荐意见，对指导肝病患者营养管理有着非常重要的价值。本文对该指南进行解读，重新归类整理推荐意见，增进理解，提高实用性。

In 2019, the European Society of Clinical Nutrition and Metabolism updated the guidelines for clinical nutrition of liver diseases, which lasted more than two years. It unified the recommendation of enteral and parenteral nutrition and firstly give the recommendation of nutrition management in patients with nonalcoholic fatty liver disease, cirrhosis with bone disease, cirrhosis with obesity, cirrhosis with oligomyopathy and nutrition-related liver injury. These recommendations have great value in guiding nutritional management of patients with liver diseases. We interpret the guidelines and reorganize the recommendations to improve the understanding and practicability.