Motil K J, Grand R J
Pediatr Clin North Am. 1985 Apr;32(2):447-69. doi: 10.1016/s0031-3955(16)34797-6.
Malnutrition and growth failure are frequent complications of inflammatory bowel disease in childhood owing to inadequate dietary nutrient intakes, excessive intestinal losses, malabsorption, and increased nutrient requirements. Aggressive nutritional therapy is indicated for primary and supportive management of disease activity, drug nutrient interactives, individual nutrient abnormalities, and the overall complications of inflammatory bowel disease, malnutrition, and growth failure. The prevention of nutritional disorders in inflammatory bowel disease is accomplished by monitoring anthropometric and biochemical indices and by instituting appropriate enteral or parenteral nutritional therapy when indicated.
营养不良和生长发育迟缓是儿童炎症性肠病常见的并发症，原因包括饮食营养摄入不足、肠道过度丢失、吸收不良以及营养需求增加。积极的营养治疗适用于疾病活动的主要和支持性管理、药物与营养的相互作用、个体营养异常以及炎症性肠病、营养不良和生长发育迟缓的总体并发症。通过监测人体测量和生化指标，并在必要时实施适当的肠内或肠外营养治疗，可预防炎症性肠病中的营养紊乱。
