Inpatient Nutritional Considerations in Inflammatory Bowel Disease.

Q1 Medicine Current Gastroenterology Reports Pub Date : 2025-12-01 Epub Date: 2025-01-06 DOI:10.1007/s11894-024-00958-0

Subin Chirayath, Janak Bahirwani, Akash Pandey, Zoe Memel, Sunhee Park, Yecheskel Schneider

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Abstract

Purpose of review: This review aims to explain the causes, diagnosis, and treatment of malnutrition in hospitalized patients with inflammatory bowel disease (IBD), focusing on both adults and children.

Recent findings: Malnutrition is common among IBD patients, affecting up to 85% of individuals, and is linked to higher rates of illness, death, and longer hospital stays. Recent studies highlight the importance of early detection using tools like the Subjective Global Assessment (SGA) and handgrip strength tests. Nutritional interventions-such as exclusive enteral nutrition (EEN) and parenteral nutrition (PN)-have proven effective in inducing remission and improving patient outcomes, especially in pediatric Crohn's disease. New evidence suggests that optimizing nutrition before and after surgery, as well as using immunonutrition, may reduce postoperative complications. Early identification and management of malnutrition in hospitalized IBD patients may be important for improving clinical outcomes. Using appropriate nutritional screening tools and creating personalized nutrition plans can help with recovery, decrease hospital stays, and improve quality of life. Further research is needed to develop standard protocols for nutritional assessment and treatment in this patient population.

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炎症性肠病住院患者的营养考虑。

综述目的：本综述旨在解释炎症性肠病（IBD）住院患者营养不良的原因、诊断和治疗，研究对象包括成人和儿童。最近的研究发现：营养不良在IBD患者中很常见，影响了高达85%的个体，并与较高的发病率、死亡率和较长的住院时间有关。最近的研究强调了使用主观整体评估（SGA）和握力测试等工具进行早期检测的重要性。营养干预-如单独肠内营养（EEN）和肠外营养(PN)-已被证明在诱导缓解和改善患者预后方面是有效的，特别是在儿童克罗恩病中。新的证据表明，优化术前和术后营养，以及使用免疫营养，可以减少术后并发症。IBD住院患者营养不良的早期识别和管理可能对改善临床结果很重要。使用适当的营养筛选工具和制定个性化的营养计划可以帮助恢复，减少住院时间，提高生活质量。需要进一步的研究来制定对这一患者群体进行营养评估和治疗的标准方案。

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来源期刊

Current Gastroenterology Reports Medicine-Gastroenterology

CiteScore

7.80

自引率

0.00%

发文量

期刊介绍： As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.

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