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Nutritional considerations in inflammatory bowel diseases

D G Kelly1, C R Fleming

  • 1Mayo Medical School, Rochester, Minnesota, USA.

Gastroenterology Clinics of North America
|September 1, 1995
PubMed
Summary
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While diet is not a definitive cause of Inflammatory Bowel Disease (IBD), nutritional support is crucial for managing malnutrition and aiding treatment. It offers benefits in specific cases like short bowel syndrome and pediatric growth failure.

Area of Science:

  • Gastroenterology and Nutrition Science

Background:

  • Dietary factors are often implicated in Inflammatory Bowel Disease (IBD) etiology, but conclusive evidence is lacking.
  • Malnutrition is a prevalent complication in IBD patients, significantly impacting disease management and patient outcomes.

Purpose of the Study:

  • To evaluate the role and efficacy of nutritional support in the management of Inflammatory Bowel Disease (IBD).

Main Methods:

  • Review of existing literature on nutritional interventions in Crohn's disease (CD) and ulcerative colitis (UC).
  • Analysis of the impact of parenteral and enteral nutrition on disease remission and complications.

Main Results:

  • Nutritional support shows limited efficacy as a primary therapy for IBD.
  • Parenteral and enteral nutrition can induce remission but relapse is common upon resuming oral intake.

Related Experiment Videos

  • Nutritional therapy can resolve fistulae, though recurrence is frequent.
  • Parenteral nutrition is vital for managing short bowel syndrome in CD.
  • Perioperative nutritional support reduces postoperative complications in malnourished patients.
  • Nutritional support effectively promotes growth in pediatric CD patients with growth failure.

    • Conclusions:

    • Nutritional support is an important adjunctive therapy in IBD, particularly for malnutrition, short bowel syndrome, and growth failure.
    • While beneficial for symptom management and specific complications, nutritional support is not a standalone cure for IBD.