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北京最好的白癜风医院在那里白癜风去哪里治疗最好