Title: Nutritional management as a treatment option for Crohn's disease
- Angelika Kargulewicz, Hanna Stankowiak-Kulpa, Marian Grzymisławski
- Review articles
- Polish Gastroenterology
- Start page:
- Final page:
- Crohn's disease, nutritional management, enteral nutrition, parenteral nutrition
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.