Pérez Tárrago C, Puebla Maestu A, Miján de la Torre A A
Servicio de Medicina Interna, Complejo Asistencial de Burgos, España.
Nutr Hosp. 2008 Sep-Oct;23(5):418-28.
Patients with inflammatory bowel disease present higher risk for hyponutrition. For this reason, an adequate nutritional support is frequently needed. In these patients, enteral nutrition should be used unless there exist contraindications. Nutritional support as the primary therapy is no indicated in adults (since steroidal therapy has shown to be more effective) but in the case of intolerance or lack of response to medical treatment. By contrast, enteral nutrition is considered a first line therapy in children. There is no clear benefit with the use of specific formulas (modified fat, glutamine...), so that their routine use is not recommended. In spite of the great technical and scientific advances, there are still many fields in which knowledge should be broaden; some of them are pointed out in this publication.
炎症性肠病患者出现营养不良的风险更高。因此，经常需要适当的营养支持。对于这些患者，除非存在禁忌证，否则应采用肠内营养。营养支持作为主要治疗方法在成人中并不适用（因为类固醇治疗已被证明更有效），但在不耐受或对药物治疗无反应的情况下适用。相比之下，肠内营养被认为是儿童的一线治疗方法。使用特定配方（如改良脂肪、谷氨酰胺等）并没有明显益处，因此不建议常规使用。尽管在技术和科学方面取得了巨大进步，但仍有许多领域的知识需要拓宽；本出版物指出了其中一些领域。
