Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/34575
Title: Practical application of the Crohn's disease exclusion diet as therapy in an adult Australian population.
Austin Authors: Russell, Erin E;Day, Alice Sarah;Dimitroff, Claire;Trakman, Gina L;Silva, Hannah;Bryant, Robert V;Purcell, Liz;Yao, Chu K;Landorf, Emma;Fitzpatrick, Jessica A
Affiliation: Department of Gastroenterology, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.;Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
Department of Gastroenterology, IBD Service, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.;Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Nutrition and Dietetics
Department of Gastroenterology, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.;Department of Dietetics, Nutrition and Sport, La Trobe University, Melbourne, Victoria, Australia.
Department of Dietetics, Eastern Health, Melbourne, Victoria, Australia.;Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.
Department of Gastroenterology, IBD Service, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.;Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Metro South Health, Queensland Health, Brisbane, Queensland, Australia.
Department of Nutrition, Women's and Children's Health Network, Adelaide, South Australia, Australia.
Department of Gastroenterology, Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Issue Date: 7-Dec-2023
Date: 2023
Publication information: Journal of Gastroenterology and Hepatology 2023-12-07
Abstract: There is demand from patients and clinicians to use the Crohn's disease exclusion diet (CDED) with or without partial enteral nutrition (PEN). However, the therapeutic efficacy and nutritional adequacy of this therapy are rudimentary in an adult population. This review examines the evidence for the CDED in adults with active luminal Crohn's disease and aims to provide practical guidance on the use of the CDED in Australian adults. A working group of nine inflammatory bowel disease (IBD) dietitians of DECCAN (Dietitians Crohn's and Colitis Australian Network) and an IBD gastroenterologist was established. A literature review was undertaken to examine (1) clinical indications, (2) monitoring, (3) dietary adequacy, (4) guidance for remission phase, and (5) diet reintroduction after therapy. Each diet phase was compared with Australian reference ranges for food groups and micronutrients. CDED with PEN is nutritionally adequate for adults containing sufficient energy and protein and meeting > 80% of the recommended daily intake of key micronutrients. An optimal care pathway for the clinical use of the CDED in an adult population was developed with accompanying consensus statements, clinician toolkit, and patient education brochure. Recommendations for weaning from the CDED to the Australian dietary guidelines were developed. The CDED + PEN provides an alternate partial food-based therapy for remission induction of active luminal Crohn's disease in an adult population. The CDED + PEN should be prioritized over CDED alone and prescribed by a specialist IBD dietitian. DECCAN cautions against using the maintenance diet beyond 12 weeks until further evidence becomes available.
URI: https://ahro.austin.org.au/austinjspui/handle/1/34575
DOI: 10.1111/jgh.16414
ORCID: 0000-0003-4341-7087
0000-0003-4905-5056
0000-0002-2483-0899
0000-0002-4592-7809
0000-0002-5301-2457
Journal: Journal of Gastroenterology and Hepatology
PubMed URL: 38059536
ISSN: 1440-1746
Type: Journal Article
Subjects: Crohn's disease
IBD
diet therapy
nutrition
Appears in Collections:Journal articles

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