Which diets are most beneficial for patients with Crohn disease who undergo resection of the terminal portion of ileum?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

Patients who undergo extensive resection of the terminal portion of the ileum may benefit from a low-fat diet with the addition of medium-chain triglyceride preparations.

Selected patients may require TPN. Short-term use of TPN (given preoperatively) is appropriate for patients with active inflammation, abscesses, fistulae, and severe malnutrition. Long-term TPN is suitable for patients who have undergone extensive intestinal resection, resulting in short bowel syndrome. [85]


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