Making Decisions about Dietary Therapy in Inflammatory Bowel Disease
Treatment for inflammatory bowel disease (IBD) deserves an informed shared decision-making process between patient and doctor. IBD spans a spectrum of phenotypes that impact each patient uniquely. While treatment has primarily consisted of medical or surgical therapy, dietary approaches have become...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-10-01
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| Series: | Gastrointestinal Disorders |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2624-5647/2/4/32 |
| _version_ | 1797551655803158528 |
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| author | Sydney Solomon Eunie Park Joseph A. Picoraro |
| author_facet | Sydney Solomon Eunie Park Joseph A. Picoraro |
| author_sort | Sydney Solomon |
| collection | DOAJ |
| description | Treatment for inflammatory bowel disease (IBD) deserves an informed shared decision-making process between patient and doctor. IBD spans a spectrum of phenotypes that impact each patient uniquely. While treatment has primarily consisted of medical or surgical therapy, dietary approaches have become increasingly relevant. A majority of patients with IBD use some form of dietary modification, and it is common for patients to do this without their physicians’ knowledge. Lack of medical supervision can lead to nutritional deficiencies and a worsening disease state. Some patients work with their medical team to pursue a well-defined exclusion diet as a primary therapy, such as the specific carbohydrate diet, exclusive enteral nutrition, or the Crohn’s disease exclusion diet. The motivations to use dietary therapy for IBD remain unclear and the effectiveness has not been definitively established for many approaches. It is necessary for medical providers to be knowledgeable and to foster open communication with their patients in order to ensure the highest likelihood of remission. This review provides an overview of dietary treatment options, the current knowledge about patient motivations for pursuing dietary therapy, and the roles of patient empowerment and patient activation. We outline areas of improvement for the decision-making process. |
| first_indexed | 2024-03-10T15:48:11Z |
| format | Article |
| id | doaj.art-cdf06ef06d5341668c353a3d89bf29e9 |
| institution | Directory Open Access Journal |
| issn | 2624-5647 |
| language | English |
| last_indexed | 2024-03-10T15:48:11Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Gastrointestinal Disorders |
| spelling | doaj.art-cdf06ef06d5341668c353a3d89bf29e92023-11-20T16:17:57ZengMDPI AGGastrointestinal Disorders2624-56472020-10-012435336510.3390/gidisord2040032Making Decisions about Dietary Therapy in Inflammatory Bowel DiseaseSydney Solomon0Eunie Park1Joseph A. Picoraro2Institute of Human Nutrition, Columbia University Irving Medical Center, New York, NY 10032, USADivision of Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Irving Medical Center, New York, NY 10032, USADivision of Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Irving Medical Center, New York, NY 10032, USATreatment for inflammatory bowel disease (IBD) deserves an informed shared decision-making process between patient and doctor. IBD spans a spectrum of phenotypes that impact each patient uniquely. While treatment has primarily consisted of medical or surgical therapy, dietary approaches have become increasingly relevant. A majority of patients with IBD use some form of dietary modification, and it is common for patients to do this without their physicians’ knowledge. Lack of medical supervision can lead to nutritional deficiencies and a worsening disease state. Some patients work with their medical team to pursue a well-defined exclusion diet as a primary therapy, such as the specific carbohydrate diet, exclusive enteral nutrition, or the Crohn’s disease exclusion diet. The motivations to use dietary therapy for IBD remain unclear and the effectiveness has not been definitively established for many approaches. It is necessary for medical providers to be knowledgeable and to foster open communication with their patients in order to ensure the highest likelihood of remission. This review provides an overview of dietary treatment options, the current knowledge about patient motivations for pursuing dietary therapy, and the roles of patient empowerment and patient activation. We outline areas of improvement for the decision-making process.https://www.mdpi.com/2624-5647/2/4/32Crohn’s diseasedietary therapyinflammatory bowel diseasenutritional therapyshared decision-makingulcerative colitis |
| spellingShingle | Sydney Solomon Eunie Park Joseph A. Picoraro Making Decisions about Dietary Therapy in Inflammatory Bowel Disease Gastrointestinal Disorders Crohn’s disease dietary therapy inflammatory bowel disease nutritional therapy shared decision-making ulcerative colitis |
| title | Making Decisions about Dietary Therapy in Inflammatory Bowel Disease |
| title_full | Making Decisions about Dietary Therapy in Inflammatory Bowel Disease |
| title_fullStr | Making Decisions about Dietary Therapy in Inflammatory Bowel Disease |
| title_full_unstemmed | Making Decisions about Dietary Therapy in Inflammatory Bowel Disease |
| title_short | Making Decisions about Dietary Therapy in Inflammatory Bowel Disease |
| title_sort | making decisions about dietary therapy in inflammatory bowel disease |
| topic | Crohn’s disease dietary therapy inflammatory bowel disease nutritional therapy shared decision-making ulcerative colitis |
| url | https://www.mdpi.com/2624-5647/2/4/32 |
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