Abstract
<jats:p>Paediatric liver disease is rare, with just over 1000 children per year diagnosed in the United Kingdom. Although several aspects of management are similar for adults and children with liver disease, there are some important differences, not least the higher anabolic requirements of children and the time‐sensitive opportunity for normal growth and neurocognitive development. Management is dependent on whether the liver disease is acute, metabolic or chronic. A detailed nutritional assessment is essential in children with liver disease and should be done regularly. Common features of liver disease that should be considered as part of the clinical assessment include muscle wasting, cholestasis, ascites, organomegaly and pruritus. These symptoms may impact nutritional requirements, oral intake, metabolism and absorption. The frequency of review required for a child with liver disease is dependent on their clinical and nutritional status.</jats:p>