| 特集名 | クローン病の治療 | |
|---|---|---|
| 題名 | 栄養療法について (2) 経腸栄養 | |
| 発刊年月 | 1998年 01月 | |
| 著者 | 高添 正和 | 社会保険中央総合病院内科 |
| 【 要旨 】 | クローン病治療には，(1)nutritional intervention，(2)5-ASAを始めとするmedication，(3)operation，(4)patient-medical staff communicationがある．最近，5-ASAの導入，抗TNF-αantibodyなど，治療が大きく変容しつつある． しかし，未だ実地臨床ではmedicationやoperationを行うにしても，それら単独では患者のtota1 careとしては不十分であり，nutritional interventionを併せて行わざるをえない． ここではクローン病におけるnutritional interventionとりわけelemental nutritionについて，1) supplementation，と2) primary therapyの面からみた役割と意義について述べてみる． |
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| Theme | Treatment of Crohn's Disease | |
|---|---|---|
| Title | Nutritional Intervention for Crohn's Disease | |
| Author | Masakazu Takazoe | Department of Internal Medicine, The Social Health Insurance Medical Center |
| [ Summary ] | There are different phases of therapy for Crohn's disease ("CD") 1) Nutritional intervention, 2) Medication, primarily 5-ASA, 3) Operation, 4) Patient-Medical staff communication. With the recent introductions of 5-ASA and/or Anti TNF-alpha antibody, therapeutic methods for CD are tending to undergo remarkable change. However, because no therapy like medication or operation is sufficient alone when we aim for total care of CD patients in daily clinical practice, we perform nutritional intervention simultaneously. We describe herein the roles, as well as meaning, of Nutritional Intervention, especially Elemental Nutrition from the viewpoints of 1) Supplementation and 2) Primary therapy. |
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