ESPEN guideline: Clinical nutrition in inflammatory bowel disease

Bischoff, Stephan C.; Escher, Johanna C.; Hébuterne, Xavier; Kłęk, Stanisław; Krznarić, Željko; Schneider, Stéphane; Shamir, Raanan; Stardelova, Kalina; Wierdsma, N.J.; Wiskin, Anthony E.; Forbes, Alastair; Montoro, Miguel; Peláez, Rosa Burgos

doi:10.20960/nh.03857

Cited by 19 publications

(12 citation statements)

References 182 publications

(174 reference statements)

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“…Malnutrition is detected in approximately 65–75% of patients with Crohn's disease [ 49 ]. Enteral nutrition (EN) and parenteral nutrition (PN) are recommended by the guidelines of the European Society of Clinical Nutrition and Metabolism (ESPEN) for malnourished patients [ 50 ]. Due to the high cost and side effects of PN, EN is often the first choice for Crohn's disease patients [ 51 ], and nasogastric feeding is the main EN method.…”

Section: Discussionmentioning

confidence: 99%

Patients’ perspectives on, experience with and concerns about crohn's disease: insights from Chinese social media

Sun

et al. 2023

BMC Gastroenterol

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Aim The aim of this study was to explore the experience and perceptions of patients with Crohn’s disease in China. Methods Data mining was used to investigate posts in Crohn’s disease online medical communities. The data were collected through the crawler code, and latent Dirichlet allocation (LDA) and grounded theory were used to mine the theme features after data cleaning. Results In analyzing the topic characteristics of online posts, LDA divided 6757 posts into 15 topics on four aspects: seeking disease information, making decisions on medication use, psychological burden, and communicating about diet and nutrition. Conclusion Overall, social media is patient-centric and helps us better understand the experiences and perceptions of patients. This study can help medical staff predict the thoughts and concerns of Crohn's disease patients during the treatment process, facilitate doctor-patient communication, and assist in the formulation of medical policies.

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Section: Discussionmentioning

confidence: 99%

Patients’ perspectives on, experience with and concerns about crohn's disease: insights from Chinese social media

Sun

et al. 2023

BMC Gastroenterol

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“…In this era of personalized medicine, various options are developing starting from improved intestinal microecology, small molecules, exosome therapy, to lastly stem cell transplantation. In the past few years, and in parallel to pharmacological and surgical interventions, guidelines have suggested that enteral feeding is preferred over the parenteral nutrition in adult patients, but to not be used exclusively in treating acute flares of the disease [40]. However, others recommended that exclusive enteral nutrition may be useful in pediatric CD patients to induce remission alternative to corticosteroids use [41].…”

Section: Managementmentioning

confidence: 99%

Inflammatory Bowel Disease: A focus on the Role of Probiotics in Ulcerative Colitis

Al-zahrani

Alzahrani

Shori

2023

Open Access Maced J Med Sci

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Inflammatory bowel disease (IBD) is a cluster of disorders of the gastrointestinal tract characterized by chronic inflammation and imbalance of the gut microbiota in a genetically vulnerable host. Crohn’s disease and ulcerative colitis (UC) are well-known types of IBD, and due to its high prevalence, IBD has attracted the attention of researchers globally. The exact etiology of IBD is still unknown; however, various theories have been proposed to provide some explanatory clues that include gene-environment interactions and dysregulated immune response to the intestinal microbiota. These diseases are manifested by several clinical symptoms that depend on the affected segment of the intestine such as diarrhea, abdominal pain, and rectal bleeding. In this era of personalized medicine, various options are developing starting from improved intestinal microecology, small molecules, exosome therapy, to lastly stem cell transplantation. From another aspect, and in parallel to pharmacological intervention, nutrition, and dietary support have shown effectiveness in IBD management. There is an increasing evidence supporting the benefit of probiotics in the prophylaxis and treatment of IBD. There are several studies that have demonstrated that different probiotics alleviate UC. The present review summarizes the progress in the IBD studies focusing and exploring more on the role of probiotics as a potential adjunct approach in UC management.

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“…In fact, malnutrition is more ordinary in patients with UC, as the intestine may be affected, leading to malabsorption and possible nutritional deficiencies. New guidelines from the European Society for Clinical Nutrition and Metabolism (ESPEN) recommend increasing the protein requirement for adults with IBD to 1.2–1.5 g/kg body weight/day compared to the recommended amount for the general population (0.83 g/kg body weight/day). , Therefore, nutritional availability, especially protein, is of key importance during and after intestinal illness. The development of food-derived natural proteins as ingredients for nutritional supplements has a wide application potential.…”

Section: Introductionmentioning

confidence: 99%

Integrated Microbiome and Metabolomic Analysis Reveal the Repair Mechanisms of Ovalbumin on the Intestine Barrier of Colitis Mice

Yang,

Liu,

et al. 2023

J. Agric. Food Chem.

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The development and progression of colitis would detrimentally destroy the intestine barrier. However, there remains a paucity of evidence on whether ovalbumin (OVA) can be used as a nutritional food protein to repair the intestinal barrier. In this study, the repairing mechanism of OVA on intestinal barrier was thoroughly investigated by gut microbiota and untargeted metabolomics techniques. The findings demonstrated that OVA reduced intestinal permeability and restored mucin (0.75 ± 0.06) and tight junction (TJ) protein (0.67 ± 0.14) expression in colitis mice caused by 3% dextran sulfate sodium (DSS). In addition, the inflammation response and oxidative stress were also attenuated. The intake of OVA upregulated the abundance of Lactobacillaceae (7.60 ± 3.34%) and Akkermansiaceae (10.39 ± 5.97%). Furthermore, OVA upregulated the abundance of inosine (6.06 ± 0.36%), putrescine (4.14 ± 0.20%), and glycocholic acid (5.59 ± 0.23%) in colitis mice through ATP binding cassette (ABC) transporters and bile secretion pathways. In summary, our findings revealed that OVA could maintain intestinal health, which may provide crucial insights for preventing and treating intestinal diseases.

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ESPEN guideline: Clinical nutrition in inflammatory bowel disease

Cited by 19 publications

References 182 publications

Patients’ perspectives on, experience with and concerns about crohn's disease: insights from Chinese social media

Patients’ perspectives on, experience with and concerns about crohn's disease: insights from Chinese social media

Inflammatory Bowel Disease: A focus on the Role of Probiotics in Ulcerative Colitis

Integrated Microbiome and Metabolomic Analysis Reveal the Repair Mechanisms of Ovalbumin on the Intestine Barrier of Colitis Mice

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