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Nutritional Management of Inflammatory Bowel Disease

  • Anthony R. Otley
  • Andrew S. Day
  • Mary ZachosEmail author
Chapter

Abstract

Nutritional monitoring and therapy are an integral component of the management of children with inflammatory bowel disease. Given the early age of onset, the impact of the disease can have a profound impact on nutritional status, growth, pubertal development, bone health, self-esteem, and quality of life. In the treatment of IBD in children, nutrition and growth outcomes are critical indicators of overall well-being and therapeutic success in addition to other therapeutic targets of symptom resolution and mucosal healing. In addition to a multitude of pharmacologic approaches to therapy, there is extensive evidence supporting the efficacy of nutritional therapy in Crohn’s disease. Current guidelines support exclusive enteral nutrition (EEN) as the first-line therapy to induce remission in children with active CD. This chapter will focus on nutritional deficiencies and the role of nutritional management in the treatment of IBD.

Keywords

Pediatric Crohn’s disease Ulcerative colitis Nutritional therapy Diet Exclusive enteral nutrition 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Anthony R. Otley
    • 1
    • 2
  • Andrew S. Day
    • 3
    • 4
  • Mary Zachos
    • 5
    Email author
  1. 1.Faculty of MedicineDalhousie UniversityHalifaxCanada
  2. 2.Division of Gastroenterology & NutritionIWK Health CentreHalifaxCanada
  3. 3.Pediatric GastroenterologyChristchurch HospitalChristchurchNew Zealand
  4. 4.Department of PediatricsUniversity of OtagoChristchurchNew Zealand
  5. 5.Department of PediatricsMcMaster University, McMaster Children’s HospitalHamiltonCanada

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