Stein J
Zentrum der Inneren Medizin Gastroenterologie/Klinische Ernährung Frankfurt am Main.
MMW Fortschr Med. 2004 Apr 1;146(14):31-4.
The relationships between nutrition and chronic inflammatory bowel disease (CIBD) range from a possible involvement in the etiopathogenesis of the disease to dietary intervention in the various disease stages. CIBDs are often associated with dietary depletion. Prevention and treatment of malnutrition are therefore obligatory elements of therapy. The following stepped dietary treatment strategy applies: dietary counseling, supplementary dietary drinks, feeding via a stomach tube, parenteral alimentation. In the case of uncomplicated CIBD, an adequate and balanced diet (light full diet) is the goal. In the event of malnutrition, during an acute attack, and when complications occur, the diet must be adapted accordingly. Total parenteral alimentation is, per se, more likely to be associated with complications, is more expensive that enteral alimentation, and is thus reserved for specific indications.
营养与慢性炎症性肠病（CIBD）之间的关系广泛，从可能参与疾病的病因发病机制到在疾病各个阶段进行饮食干预。CIBD通常与饮食营养缺乏有关。因此，预防和治疗营养不良是治疗的必要组成部分。以下是分阶段的饮食治疗策略：饮食咨询、补充性饮食饮料、经胃管喂养、胃肠外营养。对于无并发症的CIBD，目标是提供充足且均衡的饮食（清淡的全饮食）。在出现营养不良、急性发作以及发生并发症时，饮食必须相应调整。全胃肠外营养本身更易引发并发症，比肠内营养更昂贵，因此仅用于特定指征。
