Dietary Advice for Managing Strictures in Crohn's Disease

A simple leaflet providing guidance for people with strictures in Crohn's disease on how diet can support their disease management. Designed for use by adults in consultation with their dietitian.

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To minimise the risk of bowel obstruction and its symptoms.

  • Target Group will be able to define a stricture.
  • Target Group will be aware of how a stricture can be managed to appropriately apply techniques to their own condition (dilation, stricturoplacy, surgery, modified residue diet, medication)
  • Target Group will be able to identify a low residue diet and distinguish which foods will/will not cause a blockage by following ‘choose, check and avoid' food choice guidance.
  • Crohn’s disease: management, NICE guideline [NG129] Published: 03 May 2019, https://www.nice.org.uk/guidance/ng129
  • Fernando Gomollón, et al, on behalf of ECCO, 3rd European Evidence-based Consensus on the Diagnosis and Management of Crohn’s Disease 2016: Part 1: Diagnosis and Medical Management, Journal of Crohn's and Colitis, Volume 11, Issue 1, January 2017, Pages 3–25, https://doi.org/10.1093/ecco-jcc/jjw168
  • Inflammatory bowel disease, NICE Quality standard [QS81] Published: 26 February 2015, https://www.nice.org.uk/guidance/qs81
  • Lamb CA, Kennedy NA, Raine T, et al. British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults. Gut 2019; 68:s1-s106. https://gut.bmj.com/content/68/Suppl_3/s1
  • Limketkai BN, et al. Probiotics for induction of remission in Crohn's disease. Cochrane Database of Systematic Reviews 2020, Issue 7. Art. No.: CD006634. DOI: 10.1002/14651858.CD006634.pub3. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006634.pub3/full
  • Limketkai BN, et al. Dietary interventions for induction and maintenance of remission in inflammatory bowel disease. Cochrane Database of Systematic Reviews 2019, Issue 2. Art. No.: CD012839. DOI: 10.1002/14651858.CD012839.pub2. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012839.pub2/full
  • Lomer M et al. British Dietetic Association consensus guidelines on the nutritional assessment and dietary  management of patients with inflammatory bowel disease, Journal of Human Nutrition and Dietetics 2022;1–42
  • Stephan C. Bischoff, et al ESPEN practical guideline: Clinical Nutrition in inflammatory bowel disease Published: January 13, 2020, ESPEN GUIDELINE VOLUME 39, ISSUE 3, P632-653, MARCH 01, 2020 https://doi.org/10.1016/j.clnu.2019.11.002
NDR-UK Ref No: 9306
Publication Format: A5 leaflet
Classification: DT
Pack size: 10
Publication date: 06/12
Last Review: 2023

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