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Articles

Title: Nutritional management as a treatment option for Crohn's disease

Author:
Angelika Kargulewicz, Hanna Stankowiak-Kulpa, Marian Grzymisławski
Type:
Review articles
Language:
PL
Journal:
Polish Gastroenterology
Year:
2010
Volume:
17
Number:
4
Start page:
300
Final page:
303
ISSN:
1232-9886
Keywords:
Crohn's disease, nutritional management, enteral nutrition, parenteral nutrition
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Crohn's disease (CD) is a chronic inflammatory process, which can involve any part of the gastrointestinal tract from the oral cavity to the anus. CD is a relapsing-remitting immune disorder. The etiology remains unknown, however immunological, environmental and genetic factors may contribute to the development of CD. Treatment options for CD include pharmacotherapy, surgery and nutrition as its important part. Malnutrition appears to be one of the main clinical problems in patients with CD. Nutritional management used in CD involves oral, enteral and parenteral nutrition. Parenteral nutrition has similar efficacy compared to enteral nutrition, its application is therefore limited to severe malnutrition and to pre- and postoperative time. Enteral nutrition is recommended, because it is the most physiological method of nutritional supply promoting epithelial healing. In this paper we discuss the nature of CD and the role of nutritional management in its therapy.