Crohnʼs Disease Exclusion Diet (CDED) als Alternative zur exklusiven Ernährungstherapie bei Kindern und Jugendlichen mit Morbus Crohn? Stellungnahme der Arbeitsgemeinschaften CEDATA und Ernährung/Diätetik/Ernährungsmedizin der Gesellschaft für pädiatrische Gastroenterologie und Ernährung e. V.

Jan de Laffolie; Tobias Schwerd; Annette Simon; Maren Pauli; Ilse Broekaert; Martin Classen; Carsten Posovszky; Anjona Schmidt-Choudhury; im Namen und Auftrag der AGs CEDATA und AG Ernährung und Diätetik/Ernährungsmedizin der GPGE

doi:10.1055/a-1199-6751

Zeitschrift für Gastroenterologie, Table of Contents

Z Gastroenterol 2020; 58(09): 890-894
DOI: 10.1055/a-1199-6751

Mitteilungen

Crohnʼs Disease Exclusion Diet (CDED) als Alternative zur exklusiven Ernährungstherapie bei Kindern und Jugendlichen mit Morbus Crohn? Stellungnahme der Arbeitsgemeinschaften CEDATA und Ernährung/Diätetik/Ernährungsmedizin der Gesellschaft für pädiatrische Gastroenterologie und Ernährung e. V.

Crohnʼs Disease Exclusion Diet – an alternative to exlusive enteral nutritional therapy in children and adolescents with Crohnʼs disease? Statement of the GPGE working groups CEDATA and Nutrition/Nutrition Medicine

Jan de Laffolie

¹Zentrum für Kinderheilkunde, Justus Liebig Universität Gießen, Germany

,

Tobias Schwerd

²Kindergastroenterologie, Dr. von Haunersches Kinderspital, Kinderklinik und Kinderpoliklinik der Ludwig-Maximilians-Universität München, München, Germany

,

Annette Simon

¹Zentrum für Kinderheilkunde, Justus Liebig Universität Gießen, Germany

,

Maren Pauli

³HELIOS Klinikum, Erfurt, Germany

,

Ilse Broekaert

⁴University Hospital Cologne, Köln, Germany

,

Martin Classen

⁵Klinikum Links der Weser gGmbH, Bremen, Germany

,

Carsten Posovszky

⁶Universität Ulm, Germany

,

Anjona Schmidt-Choudhury

⁷Klinik für Kinder- und Jugendmedizin der Ruhr-Universität Bochum im St. Josef-Hospital, Katholisches Klinikum Bochum, Germany

,

im Namen und Auftrag der AGs CEDATA und AG Ernährung und Diätetik/Ernährungsmedizin der GPGE

› Author Affiliations

Abstract

Zusammenfassung

Epidemiologische und klinische Beobachtungen sowie Tiermodelle weisen auf die Ernährung als Risikofaktor für die Entwicklung einer chronisch entzündlichen Darmerkrankung (CED) hin. Die exklusive enterale Ernährungstherapie (EET) ist das Musterbeispiel einer effektiven Entzündungskontrolle durch eine rein diätetische Intervention. Ausgehend davon haben Patienten, Familien und betreuende Fachkräfte des Gesundheitswesens ein großes Interesse, andere Ernährungsmodifikationen in der Behandlung von CED-Patienten einzusetzen, zum Beispiel eine partielle Ernährungstherapie (PET) mit spezifischer Diät wie die Crohnʼs Disease Exclusion Diet. Die folgende Stellungnahme fasst die aktuelle Datenlage zusammen und gibt Orientierung für Praxis und weitere Forschung.

Abstract

Epidemiological an clinical observations as well as results from animal studies indicate that nutrition can play a role in the development of inflammatory bowel disease (IBD). Exclusive enteral nutrition therapy represents an example for modulating inflammatory responses solely through diet modification. Therefore, caretakers, patients, families, doctors and nutritionists seek for more dietary options to control IBD. These options include partial enteral nutrition therapy as for example the socalled Crohnʼs disease exclusion diet. The following statement summarizes existing data and provides recommendations for the current management of enteral nutrition therapy in pediatric Crohnʼs disease.

Schlüsselwörter

Morbus Crohn - Ernährungstherapie - Ernährungsmedizin - Crohnʼs Disease Exclusion Diet - chronisch entzündliche Darmerkrankung

Key words

Crohnʼs Disease - nutrition therapy - nutrition medicine - Crohnʼs Disease Exclusion Diet - inflammatory bowel disease

Full Text

References

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