Theme |
Cutting-edge Nutrition Therapy for Supporting the Treatment of Gastrointestinal Disorders |
Title |
Nutritional Therapy for Inflammatory Bowel Disease |
Author |
Masaya Sasaki |
Division of Clinical Nutrition, Shiga University of Medical Science |
Author |
Azusa Takaoka |
Division of Clinical Nutrition, Shiga University of Medical Science |
[ Summary ] |
Patients with inflammatory bowel disease (IBD) have various nutritional deficiencies such as protein energy malnutrition or micro nutrient deficiencies. The aims of nutritional therapy for IBD are to treat some nutritional disorders, reduce disease activity and maintain remission. Especially for treatment of Crohn's disease, nutritional therapies such as enteral nutrition or parenteral nutrition have been shown to be effective for induction or maintenance of remission. It is very important to select the most suitable nutritional therapy in relation to individual disease activity or nutritional conditions associated with active Crohnʼs disease. On the other hand, parenteral nutrition is indicated to maintain bowel rest for moderate or severe ulcerative colitis. Enteral nutrition is not effective for induction or maintainance of remission. In both Crohn's disease and ulcerative colitis, setting appropriate dosages of energy and protein/amino acids is essential to treat some nutritional disorders and reduce malnutrition |