| Nutritional status and nutritional therapy in inflammatory bowel diseases. | |
| | |
MedLine Citation:
|
PMID: 19496185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Underweight and specific nutrient deficiencies are frequent in adult patients with inflammatory bowel disease (IBD). In addition, a significant number of children with IBD, especially Crohn's disease (CD) have impaired linear growth. Nutrition has an important role in the management of IBD. In adults with CD, enteral nutrition (EN) is effective in inducing clinical remission of IBD, although it is less efficient than corticosteroids. Exclusive EN is an established primary therapy for pediatric CD. Limited data suggests that EN is as efficient as corticosteroids for induction of remission. Additional advantages of nutritional therapy are control of inflammation, mucosal healing, positive benefits to growth and overall nutritional status with minimal adverse effects. The available evidence suggests that supplementary EN may be effective also for maintenance of remission in CD. More studies are needed to confirm these findings. However, EN supplementation could be considered as an alternative or as an adjunct to maintenance drug therapy in CD. EN does not have a primary therapeutic role in ulcerative colitis. Specific compositions of enteral diets-elemental diets or diets containing specific components-were not shown to have any advantage over standard polymeric diets and their place in the treatment of CD or UC need further evaluation. Recent theories suggest that diet may be implicated in the etiology of IBD, however there are no proven dietary approaches to reduce the risk of developing IBD. |
| | |
Authors:
|
Corina Hartman; Rami Eliakim; Raanan Shamir |
Related Documents
:
|
14768475 - Clinical significance of plasma diamine oxidase activity in pediatric patients: influen... 22071715 - Adolescent and mid-life diet: risk of colorectal cancer in the nih-aarp diet and health... 8678205 - Low-dose enteral feeding is beneficial during total parenteral nutrition. 1548865 - The effect of glutamine-enriched tpn on gut immune cellularity. 7810395 - Effect of high- and low-nitrogen diets on cell ultrastructure in the cortical part of t... 14596845 - A diet promoting sugar dependency causes behavioral cross-sensitization to a low dose o... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: World journal of gastroenterology : WJG Volume: 15 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2009 Jun |
Date Detail:
|
Created Date: 2009-06-04 Completed Date: 2009-08-17 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
|
Languages: eng Pagination: 2570-8 Citation Subset: IM |
Affiliation:
|
Institute of Gastroenterology, Nutrition, and Liver Disease, Schneider Children's Medical Center of Israel, 14 Kaplan Street, Petach-Tikva 49202, Israel. corinahartman@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Growth Disorders
/
diet therapy,
etiology,
physiopathology Humans Inflammatory Bowel Diseases / complications, diet therapy*, physiopathology Malnutrition / diet therapy, physiopathology Nutrition Therapy* Nutritional Status* Nutritional Support* Quality of Life Remission Induction |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Human herpesvirus 6 infections after liver transplantation.
Next Document: Renin-angiotensin system in the pathogenesis of liver fibrosis.