Effects of Intermittent Total Enteral Nutrition Therapy on the Food Intake Pattern of Crohn's Disease Patients.

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The effects of a new maintenance therapy-intermittent total enteral nutrition (i-TEN)-on the food intake pattern of Crohn's disease (CD) patients were compared with those of the usual home enteral nutrition (HEN) therapy and therapy with normal diets. The mean age, age of the initial flare up, and CD duration were not significantly different among these three groups. The flare up index of CD, the white blood cell count and CRP at the start of each type of therapy were not significantly different between the i-TEN and HEN groups. The number of types of food that the patients rejected was 16 in the i-TEN group and 22 in the HEN group, and the number of food types ingested without distinct symptoms was slightly higher in the i-TEN group than in the HEN group. Although high-fiber food such as bamboo shoot, lotus root, edible burdock and royal fern, and oily food such as hamburger and fried potatoes are all forbidden for CD patients, many more of these foods could be ingested without distinct symptoms by the i-TEN group than by the HEN group. The i-TEN group patients ate more readily and were less nervous with food selection and the method of cooking than the HEN group patients. These results suggest that the i-TEN therapy encouraged the CD patients to eat a much greater variety of food than was possible with the HEN therapy and improved the QOL of the CD patients.
特定非営利活動法人日本栄養改善学会の論文