炎症性肠病的饮食治疗

IBD营养专辑——第五篇。

翻译及述评|周辛欣虞朝晖(浙江大医院)

来源|医学界消化频道(CCCF—IBD学习驿站出品)

IBD营养专辑回顾:

综述:IBD营养治疗的进展

全肠内营养是生物制剂时代儿童克罗恩病的一线治疗方法

综述:全肠内营养在成人克罗恩病中的应用

营养素对基因的表达调控:有益于CD患者病情控制的新的切入点?

Diettherapyforinflammatoryboweldiseases:Theestablishedandthenew

FranziskaDurchschein,WolfgangPetritsch,HeinzFHammer

Abstract

Althoughpatientswithinflammatoryboweldiseases(IBD)haveastronginterestindietarymodificationsaspartoftheirtherapeuticmanagement,dietaryadviceplaysonlyaminorpartinpublishedguidelines.ThescientificliteratureshowsthatdietaryfactorsmightinfluencetheriskofdevelopingIBD,thatdysbiosisinducedbynutritioncontributestothepathogenesisofIBD,andthatdietmayserveasasymptomatictreatmentforirritablebowelsyndrome-likesymptomsinIBD.TheroleofnutritioninIBDisunderscoredbytheeffectofvariousdietarytherapies.InpaediatricpatientswithCrohn’sdisease(CD)enteralnutrition(EN)reachesremissionratessimilartosteroids.Inadultpatients,however,ENisinferiortocorticosteroids.ENisnoteffectiveinulcerativecolitis(UC).TotalparenteralnutritioninIBDisnotsuperiortosteroidsorEN.TheuseofspecificprobioticsinpatientswithIBDcanbere







































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