Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 18: Nutritional Support In Inflammatory Bowel Disease (continued)

Alan L. Buchman, MD, MSPH; James S. Scolapio, MD

The nutritional management of a patient with inflammatory bowel disease (IBD) first begins with appropriate nutritional assessment (Chapter 1). Multiple factors contribute to malnutrition in both Crohn’s disease and ulcerative colitis. It is reported that nutritional deficiencies are greater in Crohn’s disease than in ulcerative colitis. It is estimated that as many as 75% of hospitalized Crohn’s patients are malnourished.1 Reduced intake of food secondary to abdominal cramps, nausea, and diarrhea is a major cause of weight loss in IBD patients. Intestinal malabsorption…