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Inflammatory bowel disease: nutritional implications and treatment
1Department of Gastroenterology and Nutrition, Central Middlesex Hospital, London.
The Proceedings of the Nutrition Society
|September 1, 1989
Summary
Nutritional support improves the health of patients with inflammatory bowel disease (IBD). Both enteral and parenteral nutrition are effective, but enteral nutrition is safer and more cost-effective for IBD management.
Area of Science:
- Gastroenterology
- Clinical Nutrition
- Internal Medicine
Background:
- Inflammatory bowel disease (IBD) frequently leads to impaired nutritional status.
- Nutritional support is crucial for improving the overall health of IBD patients.
Purpose of the Study:
- To evaluate the efficacy of different nutritional support methods in managing inflammatory bowel disease.
- To compare enteral nutrition with parenteral nutrition in terms of effectiveness, safety, and cost.
Main Methods:
- Review of available evidence on nutritional support in ulcerative colitis and Crohn's disease.
- Analysis of the therapeutic roles of enteral and parenteral nutrition.
Main Results:
- Enteral nutrition and parenteral nutrition show similar efficacy in improving nutritional status.
- Nutritional support does not appear to have a primary therapeutic effect in ulcerative colitis.
- Parenteral nutrition in Crohn's disease should be reserved for specific complications.
- Defined elemental diets may play a primary therapeutic role in acute Crohn's disease attacks as an adjunct to drug therapy.
Conclusions:
- Enteral nutrition is as effective as parenteral nutrition for IBD patients.
- Enteral nutrition offers advantages in safety and cost-effectiveness compared to parenteral nutrition.
- Nutritional support is essential for managing IBD, with enteral nutrition being a preferred method.