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. 2013 May;6(3):231-42.
doi: 10.1177/1756283X13477715.

Nutritional management of Crohn's disease

Clare F Donnellan  1 , Lee H Yann, Simon Lal
Affiliations

Nutritional management of Crohn's disease

Clare F Donnellan et al. Therap Adv Gastroenterol. 2013 May.

Abstract

Nutritional care and therapy forms an integral part of the management of patients with Crohn's disease (CD). Nutritional deficiencies result from reduced oral intake, malabsorption, medication side effects and systemic inflammation due to active disease. Enteral nutrition has a role in support for the malnourished patient, as well as in primary therapy to induce and maintain remission. The use of parenteral nutrition in CD is mainly limited to the preoperative setting or for patients with intestinal failure, but does not offer any additional advantage over EN in disease control. Dietary modifications, including elimination-reintroduction diets and a low fermentable, oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet may improve symptoms but there are currently no data to suggest that these approaches have any role in the induction or maintenance of remission.

Keywords: Crohn’s disease; enteral nutrition; intestinal failure; micronutrient deficiency; parenteral nutrition; protein energy malnutrition.

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Conflict of interest statement

Conflict of interest statement: The authors declare no conflicts of interest in preparing this article.

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