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Dietary Management

  • Lisa VokesEmail author
Chapter

Abstract

All IBD patients should have access to dietitians for nutrition support and, where appropriate, for primary therapy of IBD (Donnellan et al., Ther Adv Gastroenterol 6:231–242, 2013; ibd standards: http://s3-eu-west-1.amazonaws.com/files.crohnsandcolitis.org.uk/Publications/PPR/ibd_standards_13.pdf). Dietary management of IBD remains poorly understood (Charlebois et al., Crit Rev Food Sci Nutr 56:1370–1378, 2016); most guidelines do not make recommendations for it (Halmos and Gibson, Nat Rev Gastroenterol Hepatol 12:133–146, 2015) or are insufficiently detailed (Lee et al., J Hum Nutr Diet 27:207–218, 2014).

However, there is much published about dietary management of IBD. Some dietary interventions are now well supported by the evidence, but others require more research and, as such, cannot yet be used as evidence-based practice. The individual with IBD may struggle with the array of information and, together with Internet contradictions and well-meaning help from suboptimally qualified advice givers, is at risk of employing dietary strategies which could be inappropriate to their clinical situation. The IBD MDT, therefore, must help by providing a clear consistent approach about dietary management of IBD.

Dietary management of IBD can be a confusing field due to how different clinical situations such as disease type, patient’s age or stage in the disease, for example, may change what advice is appropriate. This chapter will discuss dietary management strategies, when to apply them but also when not to. It aims to present the available dietary information alongside the current thinking to enable the reader to discern what may or may not be appropriate for their patients. The reader will:
  • Become familiar with dietary management strategies.

  • Become familiar with the current evidence base for different aspects of management.

  • Gain some practical tips and resources.

  • Understand the role and scope of dietetic services for IBD patients.

  • Appreciate that appropriate dietary management will differ from patient to patient.

Keywords

Diet in IBD Nutrition screening Enteral nutrition Micronutrients 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Oxford University Hospitals NHS TrustOxfordUK

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