Austin Health

Title
Novel Use of the Crohn's Disease Exclusion Diet Plus Partial Enteral Nutrition for the Treatment of Crohn's Disease During Pregnancy.
Publication Date
2023-07
Author(s)
Ukovic, Bianca
Chapman, Brooke
Schulberg, Julien
De Cruz, Peter P
Choy, Matthew C
Subject
dietary intervention
inflammatory bowel disease
nutrition
pregnancy
Type of document
Journal Article
OrcId
0000-0001-6438-7716
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DOI
10.14309/crj.0000000000001078
Abstract
The Crohn's Disease Exclusion Diet (CDED) with partial enteral nutrition (PEN) is an emerging treatment option for Crohn's disease (CD). A 35-year-old pregnant woman presented with newly diagnosed ileal CD. At 14/40 gestation, CDED + PEN was prescribed without drug therapy. Outcomes included Harvey-Bradshaw Index, weight, and bowel wall thickness/Limberg score measured on intestinal ultrasound (IUS). In this patient, CDED + PEN achieved clinical and biochemical remission, improvements on IUS, gestational weight gain, and healthy birth weight without drug therapy. Sustained remission was achieved postpartum. Our case highlights the potential effectiveness of CDED + PEN to induce remission for active CD during pregnancy.
Link
Citation
ACG Case Reports Journal 2023-07; 10(7)
Jornal Title
ACG Case Reports Journal

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