Dietary Advice for Managing Strictures in Crohn's Disease

Dietary Advice for Managing Strictures in Crohn's Disease

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NDR-UK Ref No: 9306
Publication Format: A5 leaflet
Classification: DT  
Pack size: 10
Publication date: 06/12
Last Review: 2018
Next Review: 2021

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.

Classification: DT (Dietitian)

Advice is complex, condition specific and requires a Dietitian with knowledge, skills and experience in the condition.

To prevent 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’.
  • Akoberg A.K., Elawad M. & Gordon M. (2016) 'Glutamine for induction of remission in Crohn's Disease'; Cochrane Database of Systematic Reviews, Issue 2
  • Anderson J.L. et al (2015) ‘Dietary intake of inulin-type fructans in active and inactive Crohn’s disease and healthy controls: a case-control study’, Journal of Crohn’s & Colitis; 9(11): 1024-1031
  • Bemelman W.A. et al (2018) 'ECCO-ECSP Consensus on Surgery for Crohn's Disease', Journal of Crohn's & Colitis; 12(1): 1-16
  • Cox S.R. et al (2017) ‘Fermentable carbohydrates (FODMAPs) exacerbate functional gastrointestinal symptoms in patients with inflammatory bowel disease: a randomised, double-blind, placebo-controlled, cross-over, re-challenge trial’, Journal of Crohn’s & Colitis; 2017; 11(12): 1420-1429
  • Derwa Y. et al (2017) 'Systematic review with meta?analysis: efficacy of probiotics in inflammatory bowel disease', Alimentary Pharmacology & Therapeutics; 46(4): 389–400
  • El-Matory W. et al (2017) 'Enteral Feeding Therapy for Maintaining Remission in Crohn's Disease: a Systematic Review', Journal of Parenteral & Enteral Nutrition; 41(4): 550-561
  • Forbes A. et al (2017) ‘ESPEN guideline: Clinical nutrition in inflammatory bowel disease', Clinical Nutrition; 36(2): 321-347
  • Gastroenterological Society of Australia (2017 - DRAFT) ‘Guidelines for General Practitioners and Physicians – Inflammatory Bowel Disease’, 4th Ed. Available at: http://www.gesa.org.au/resources/clinical-guidelines-and-updates/inflammatory-bowel-disease/
  • Gomollón F. et al (2017) '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 & Colitis, 11(1): 3-25
  • Guo Z. et al (2016) 'Preoperative Nutritional Therapy Reduces the Risk of Anastomotic Leakage in Patients with Crohn's Disease Requiring Resections', Gastroenterology Research & Practice; 2016: 1-8
  • Heerasing N. et al (2017) 'Exclusive enteral nutrition provides an effective bridge to safer interval elective surgery for adults with Crohn's disease', Alimentary Pharmacology & Therapeutics; 45(5): 660–669
  • Jabnoor S.M. & Forbes A. (2017) 'Effect of fat composition in Enteral Nutrition for Crohn's disease in adults: a systematic review’, Clinical Nutrition; (e-pub Dec 28 2017)
  • Narula N. et al (2018) 'Enteral nutrition therapy for induction of remission in Crohn's Disease', Cochrane Database of Systematic Reviews (e-pub)
  • National Institute for Health and Care Excellence (2012) ‘Crohn’s disease: management’, NICE Guideline (CG152). Last updated May 2016. Available at: https://www.nice.org.uk/guidance/cg152
  • Prince A. et al (2016) ‘Fermentable carbohydrate restriction (low FODMAP diet) in clinical practice improves functional gastrointestinal symptoms in patients with inflammatory bowel disease’ Inflammatory Bowel Disease; 22(5): 1129-1136
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