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Nutritional therapy for active Crohn’s disease
引用本文:Smith PA. Nutritional therapy for active Crohn’s disease[J]. World journal of gastroenterology : WJG, 2008, 14(27): 4420-4423. DOI: 10.3748/wjg.14.4420
作者姓名:Smith PA
基金项目:Author contributions: Smith PA wrote the paper.
摘    要:Nutritional therapy for active Crohn’s disease (CD) is an underutilised 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.

关 键 词:克罗恩氏病  节段性回肠炎  营养学  类固醇
收稿时间:2008-04-26

Nutritional therapy for active Crohn's disease
Smith Paul-A. Nutritional therapy for active Crohn's disease[J]. World journal of gastroenterology : WJG, 2008, 14(27): 4420-4423. DOI: 10.3748/wjg.14.4420
Authors:Smith Paul-A
Affiliation:Specialist Registrar in Gastroenterology, North Manchester General Hospital, Gastroenterology Department, Delaunays Road, Crumpsall, Manchester, Greater Manchester, United Kingdom. M8 5RB
Abstract:Nutritional therapy for active Crohn's disease (CD) is an underutilised 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, leta-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.
Keywords:Crohn's disease  Nutrition  Dietary  Treat- ment  Steroids
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