✦ LIBER ✦

Nutritional therapy for Crohn's disease: Lessons from the Ste.-Justine hospital experience

✍ Scribed by Dr. Ernest Seidman

Publisher: John Wiley and Sons
Year: 1997
Tongue: English
Weight: 481 KB
Volume: 3
Category: Article
ISSN: 1078-0998
DOI: 10.1002/ibd.3780030109

No coin nor oath required. For personal study only.

✦ Synopsis

The good physician is he who knows how to choose the right remedies at the proper time-Aeschylus (525-456 BC) or Why do nice patients fail to respond to appropriate treatment plans? E. Seidman (DDW [Digestive Disease Week] IBD Forum, San Francisco, 1992)

THE RATIONALE FOR NUTRITIONAL THERAPY

Crohn's disease is a chronic and as yet incurable disorder with heterogeneous anatomic distribution. diverse clinical presentations, and highly variable severity. It is thus not surprising that no therapy, medical or surgical, offers any guarantee of success. Optimal management requires a combination of nutritional, pharmacological and surgical interventions that are individually tailored to meet each patient's needs. About 25% of patients are diagnosed during childhood and adolescence, with an incidence between 2 and 3 per 100,000 population (1,2). The pediatric experience with Crohn's disease is generally consistent with that in adults, with two

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