Diet Inflammatory Bowel Disease
Is diet important in inflammatory bowel disease (IBD)? Is the use of EN as good as pharmacologic therapy? Is PN effective for the treatment of IBD?
IBD is frequently associated with malnutrition. These patients are often hyper metabolic and may have anorexia due to nausea and abdominal pain. Dietary therapy in IBD has always been considered important. However, no one specific diet can be recommended.
Fat restriction may be important in patients with ileal disease or those who have undergone an ileal resection. The use of EN is an important component of IBD therapy for those patients who cannot eat. EN has not proven superior to TPN or drug therapy in inducing remissions in IBD (Lochs et al, 1990).
It is, however, less costly and associated with fewer complications. The use of PN in IBD should be restricted to those who have not responded to conservative medical therapy (EN and medications) or in whom EN cannot be delivered.
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