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Nutritional therapy for active Crohns disease

Author(s): Paul A Smith

Journal: World Journal of Gastroenterology
ISSN 1007-9327

Volume: 14;
Issue: 27;
Start page: 4420;
Date: 2008;
Original page

Keywords: Crohn’s disease | Nutrition | Dietary | Treatment | Steroids

Nutritional therapy for active Crohn’s disease (CD) is an underutilized form of treatment in adult patients, though its use is common in the paediatric population. There is evidence that nutritional therapy can effectively induce remission of CD in adult patients. Enteral nutrition therapy is safe and generally well tolerated. Meta-analysis data suggest that corticosteroids are superior to nutritional treatment for induction of remission in active CD. However, the potential side effects of such pharmacotherapy must be taken into consideration. This review examines the evidence for the efficacy of elemental and polymeric diets, and the use of total parenteral nutrition in active CD.
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