Evidence for Low Residue Diet in the Management of Gastrointestinal Related Conditions

The low residue diet is commonly recommended for pre-colonoscopy bowel preparation as well as in the management of some gastrointestinal conditions including inflammatory bowel disease. There is no objective measurement for residue, resulting in poor standardisation of a low residue diet. This revie...

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Main Authors: Chengsi Ong MS (US), RD (US), Christina Ong MBBS, FRCPCH, Wee Meng Han PhD (UK) SRD (UK)
Format: Article
Language:English
Published: SAGE Publishing 2012-09-01
Series:Proceedings of Singapore Healthcare
Online Access:https://doi.org/10.1177/201010581202100304
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author Chengsi Ong MS (US), RD (US)
Christina Ong MBBS, FRCPCH
Wee Meng Han PhD (UK) SRD (UK)
author_facet Chengsi Ong MS (US), RD (US)
Christina Ong MBBS, FRCPCH
Wee Meng Han PhD (UK) SRD (UK)
author_sort Chengsi Ong MS (US), RD (US)
collection DOAJ
description The low residue diet is commonly recommended for pre-colonoscopy bowel preparation as well as in the management of some gastrointestinal conditions including inflammatory bowel disease. There is no objective measurement for residue, resulting in poor standardisation of a low residue diet. This review examines the efficacy of a low residue diet in the management of gastrointestinal conditions. A literature search was conducted in Medline and the Cochrane Library, and eight randomised controlled trials with human subjects met the inclusion criteria. Six studied the low residue diet for pre-colonoscopy bowel preparation, the other two were conducted in Crohn's disease and post-gynaecological surgery, respectively. The low residue diet was comparable to the clear liquid diet for bowel preparation without increased side-effects. Post-gynaecological surgery, early feeding using low residue diet decreased nausea without increasing gastrointestinal symptoms when compared to the traditional feeding method. There was limited evidence on the advantage of a low residue diet over a normal diet in the management of acute, non-stenosing Crohn's disease. More rigorous studies are required to evaluate the efficacy of the low residue diet for the management of gastrointestinal conditions. In addition, substituting a low residue diet with a low fibre diet would be a more measurable and objective method to standardise guidelines both for research and therapy.
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spelling doaj.art-18c73b646a8241429347496d942925822022-12-22T00:39:38ZengSAGE PublishingProceedings of Singapore Healthcare2010-10582059-23292012-09-012110.1177/201010581202100304Evidence for Low Residue Diet in the Management of Gastrointestinal Related ConditionsChengsi Ong MS (US), RD (US)Christina Ong MBBS, FRCPCHWee Meng Han PhD (UK) SRD (UK)The low residue diet is commonly recommended for pre-colonoscopy bowel preparation as well as in the management of some gastrointestinal conditions including inflammatory bowel disease. There is no objective measurement for residue, resulting in poor standardisation of a low residue diet. This review examines the efficacy of a low residue diet in the management of gastrointestinal conditions. A literature search was conducted in Medline and the Cochrane Library, and eight randomised controlled trials with human subjects met the inclusion criteria. Six studied the low residue diet for pre-colonoscopy bowel preparation, the other two were conducted in Crohn's disease and post-gynaecological surgery, respectively. The low residue diet was comparable to the clear liquid diet for bowel preparation without increased side-effects. Post-gynaecological surgery, early feeding using low residue diet decreased nausea without increasing gastrointestinal symptoms when compared to the traditional feeding method. There was limited evidence on the advantage of a low residue diet over a normal diet in the management of acute, non-stenosing Crohn's disease. More rigorous studies are required to evaluate the efficacy of the low residue diet for the management of gastrointestinal conditions. In addition, substituting a low residue diet with a low fibre diet would be a more measurable and objective method to standardise guidelines both for research and therapy.https://doi.org/10.1177/201010581202100304
spellingShingle Chengsi Ong MS (US), RD (US)
Christina Ong MBBS, FRCPCH
Wee Meng Han PhD (UK) SRD (UK)
Evidence for Low Residue Diet in the Management of Gastrointestinal Related Conditions
Proceedings of Singapore Healthcare
title Evidence for Low Residue Diet in the Management of Gastrointestinal Related Conditions
title_full Evidence for Low Residue Diet in the Management of Gastrointestinal Related Conditions
title_fullStr Evidence for Low Residue Diet in the Management of Gastrointestinal Related Conditions
title_full_unstemmed Evidence for Low Residue Diet in the Management of Gastrointestinal Related Conditions
title_short Evidence for Low Residue Diet in the Management of Gastrointestinal Related Conditions
title_sort evidence for low residue diet in the management of gastrointestinal related conditions
url https://doi.org/10.1177/201010581202100304
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