Crohn's Disease: The Complete Guide to Medical Management

Gary R. Lichtenstein, MD, FACP, FACG, AGAF

Chapter 30: Dietary Manipulations: Enteral Therapy for Crohn’s Disease (continued)

Alan L. Buchman, MD, MSPH

ELIMINATION DIETS Several epidemiological studies from Israel,1 Italy,2 Sweden,3 and the United Kingdom4-7 have suggested an association between increased sugar and margarine consumption and the development of Crohn’s, although a multinational study was able to find only a weak association with mortality risk from CD, but not the actual incidence of disease.8 Dietary fiber intake appears to be similar in patients with CD versus age, gender, and socioeconomic background-matched controls.9,10 However, refined sugar, starch…