hrvatski

Role of enteral nutrition in the treatment of chronic inflammatory bowel disease

Malnutrition and specific vitamin and mineral deficiency together with growth retardation in children and delay in sexual maturation accompained Crohns disease and ulcerative colitis regularly. Supportive role of nutrition is to correct malnutrition, to heal specific nutritional deficiencies and enable normal growth, development and sexual maturation of children. Enteral nutrition, however, could be a primary therapeutical aspect as a change for pharmacological treatment. In this role, as succesful as steroids, initiate remmission in patients with intermediate or severe forms of disease without steroid like side. In adults, three meta-analyses confirmed therapeutical effects of enteral nutrition with remission rate of 60%, although steroids were more successful. These reports were valid only in Crohns disease. In ulcerative colitis neither parenteral or enteral nutrition had therapeutical effects without other types of treatment.

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