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Enteral Nutrition Support to Treat Malnutrition in Inflammatory Bowel Disease
Authors:Roberta Altomare  Giuseppe Damiano  Alida Abruzzo  Vincenzo Davide Palumbo  Giovanni Tomasello  Salvatore Buscemi  Attilio Ignazio Lo Monte
Affiliation:1.School in Surgical Biotechnology and Regenerative Medicine, School of Medicine, School of Biotechnology, University of Palermo, Via del Vespro 129, Palermo 90127, Italy; E-Mails: (R.A.); (A.A.); (V.D.P.); (S.B.);2.AUOP “P.Giaccone”, Universitary Hospital, Via del Vespro 129, Palermo 90127, Italy; E-Mails: (G.D.); (G.T.);3.GENURTO Department, School of Medicine and Biotechnology, University of Palermo, Via del Vespro 129, Palermo 90127, Italy
Abstract:Malnutrition is a common consequence of inflammatory bowel disease (IBD). Diet has an important role in the management of IBD, as it prevents and corrects malnutrition. It is well known that diet may be implicated in the aetiology of IBD and that it plays a central role in the pathogenesis of gastrointestinal-tract disease. Often oral nutrition alone is not sufficient in the management of IBD patients, especially in children or the elderly, and must be combined with oral supplementation or replaced with tube enteral nutrition. In this review, we describe several different approaches to enteral nutrition—total parenteral, oral supplementation and enteral tube feeding—in terms of results, patients compliance, risks and and benefits. We also focus on the home entaral nutrition strategy as the future goal for treating IBD while focusing on patient wellness.
Keywords:enteral feeding   malnutrition   nutrients supplementation   inflammatory bowel disease   tube feeding   home enteral nutrition
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