Husain A, Korzenik J R
Department of Internal Medicine, Washington University School of Medicine, St Louis, MO 63110, USA.
Semin Gastrointest Dis. 1998 Jan;9(1):21-30.
Nutritional issues in inflammatory bowel disease (IBD) often receive inadequate attention both in regard to therapy and nutritionally related complications of IBD. This article reviews much of the research that has evaluated the role of diet in the causation, primary treatment, and adjunctive therapy of both ulcerative colitis (UC) and Crohn's disease (CD). Benefits have been demonstrated in the use of elemental diets or polymeric diets in CD in both acute flare up or maintenance of IBD. A careful team approach can overcome problems in implementing nutritional therapy. Nutrition also has a critical benefit in postoperative CD and perioperative UC. Numerous easily corrected, nutritional abnormalities are often overlooked in patients with IBD, which may have significant consequences. Nutritional therapy may have a central place in the hierarchy of treatment in IBD and further research is critical in this area to better define the benefits of nutrition in IBD.
炎症性肠病（IBD）中的营养问题在治疗以及IBD的营养相关并发症方面常常未得到充分关注。本文回顾了许多评估饮食在溃疡性结肠炎（UC）和克罗恩病（CD）的病因、主要治疗及辅助治疗中作用的研究。已证明在CD的急性发作期或IBD的维持期使用要素饮食或聚合饮食有益。采用谨慎的团队方法可以克服实施营养治疗过程中出现的问题。营养在CD术后和UC围手术期也有至关重要的作用。IBD患者中许多易于纠正的营养异常情况常常被忽视，这可能会产生重大后果。营养治疗在IBD的治疗体系中可能占据核心地位，该领域的进一步研究对于更好地明确营养在IBD中的益处至关重要。
