title: Nutritional Strategies in the Management of Adult Patients with Inflammatory Bowel Disease: Dietary Considerations from Active Disease to Disease Remission.
abstract: Inflammatory bowel disease (IBD) is a group of chronic, lifelong, and relapsing illnesses, such as ulcerative colitis and Crohn's disease, which involve the gastrointestinal tract. There is no cure for these diseases, but combined pharmacological and nutritional therapy can induce remission and maintain clinical remission. Malnutrition and nutritional deficiencies among IBD patients result in poor clinical outcomes such as growth failure, reduced response to pharmacotherapy, increased risk for sepsis, and mortality. The aim of this review is to highlight the consequences of malnutrition in the management of IBD and describe nutritional interventions to facilitate induction of remission as well as maintenance; we will also discuss alternative delivery methods to improve nutritional status preoperatively.
authors.affiliation: Division of Gastroenterology & Hepatology, Department of Medicine, University of California-Irvine Medical Center, 101 The City Drive, Orange, CA, 92868, USA. douglaln@uci.edu.
authors.forename: Douglas L
authors.initials: DL
authors.lastname: Nguyen
authors.affiliation: Department of Medicine, Stanford University, 300 Pasteur Dr, Palo Alto, CA, 94304, USA.
authors.forename: Berkeley
authors.initials: B
authors.lastname: Limketkai
authors.affiliation: Department of Medicine, University of California-Davis, 2315 Stockton Blvd, Sacramento, CA, 95817, USA.
authors.forename: Valentina
authors.initials: V
authors.lastname: Medici
authors.affiliation: Department of Medicine, Ochsner Clinic, 1514 Jefferson Hwy, New Orleans, LA, 70121, USA.
authors.forename: Mardeli
authors.initials: M
authors.lastname: Saire Mendoza
authors.affiliation: Department of Medicine, Loyola University, 2160 S First Ave, Maywood, IL, 60153, USA.
authors.forename: Lena
authors.initials: L
authors.lastname: Palmer
authors.affiliation: Department of Medicine, University of Missouri-Columbia, 1 Hospital Dr, Columbia, MO, 65201, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Bechtold
mesh_terms: D019468:Disease Management; D004750:Enteral Nutrition / Q000379:methods; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications* / Q000628:therapy*; D044342:Malnutrition / Q000209:etiology* / Q000628:therapy*; D018529:Nutritional Support / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D012074:Remission Induction
keywords: enteral nutrition; inflammatory bowel disease; malnutrition; nutritional considerations; perioperative nutrition support