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. 1985 Oct;26(10):989–993. doi: 10.1136/gut.26.10.989

Low residue or normal diet in Crohn's disease: a prospective controlled study in Italian patients.

S Levenstein, C Prantera, C Luzi, A D'Ubaldi
PMCID: PMC1432953  PMID: 2996991

Abstract

Seventy patients with non-stenosing Crohn's disease were randomly assigned to follow a low residue diet or a normal Italian diet for a mean of 29 months. The two groups were comparable at the onset in various measures of disease severity and diet. Patients complied well with the diet prescriptions, the low residue group eating a mean of 8.1 portions a week of fibre containing foods and the liberalized group a mean of 26.6 portions (p less than 0.005). There was no difference in outcome between the two groups, including symptoms, need for hospitalisation, need for surgery, new complications, nutritional status, or postoperative recurrence. Eighty six per cent of patients eating ad libitum and 65% of patients who avoided roughage eliminated one or more permitted foods because of subjective intolerance. Lifting of dietary restrictions, which results in a more appetizing and nutritious diet, does not cause symptomatic deterioration or precipitate intestinal obstruction in Crohn's disease.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andersson H., Isaksson B., Sjögren B. Fat-reduced diet in the symptomatic treatment of small bowel disease: Metabolic studies in patients with Crohn's disease and in other patients subjected to ileal resection. Gut. 1974 May;15(5):351–359. doi: 10.1136/gut.15.5.351. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Best W. R., Becktel J. M., Singleton J. W., Kern F., Jr Development of a Crohn's disease activity index. National Cooperative Crohn's Disease Study. Gastroenterology. 1976 Mar;70(3):439–444. [PubMed] [Google Scholar]
  3. Heaton K. W., Thornton J. R., Emmett P. M. Treatment of Crohn's disease with an unrefined-carbohydrate, fibre-rich diet. Br Med J. 1979 Sep 29;2(6193):764–766. doi: 10.1136/bmj.2.6193.764. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Lorenz-Meyer H., Brandes J. W. Gibt es eine diätetische Behandlung des Morbus Crohn in der remission? Dtsch Med Wochenschr. 1983 Apr 15;108(15):595–597. [PubMed] [Google Scholar]
  5. Martini G. A., Brandes J. W. Increased consumption of refined carbohydrates in patients with Crohn's disease. Klin Wochenschr. 1976 Apr 15;54(8):367–371. doi: 10.1007/BF01469792. [DOI] [PubMed] [Google Scholar]
  6. Mayberry J. F., Rhodes J., Allan R., Newcombe R. G., Regan G. M., Chamberlain L. M., Wragg K. G. Diet in Crohn's disease two studies of current and previous habits in newly diagnosed patients. Dig Dis Sci. 1981 May;26(5):444–448. doi: 10.1007/BF01313588. [DOI] [PubMed] [Google Scholar]
  7. McClain C., Soutor C., Zieve L. Zinc deficiency: a complication of Crohn's disease. Gastroenterology. 1980 Feb;78(2):272–279. [PubMed] [Google Scholar]
  8. Silkoff K., Hallak A., Yegena L., Rozen P., Mayberry J. F., Rhodes J., Newcombe R. G. Consumption of refined carbohydrate by patients with Crohn's disease in Tel-Aviv-Yafo. Postgrad Med J. 1980 Dec;56(662):842–846. doi: 10.1136/pgmj.56.662.842. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Ste-Marie M. Symposium on the treatment of inflammatory bowel disease in children and adolescents. Nutritional therapy. Can J Surg. 1982 Sep;25(5):495–498. [PubMed] [Google Scholar]
  10. Thornton J. R., Emmett P. M., Heaton K. W. Diet and Crohn's disease: characteristics of the pre-illness diet. Br Med J. 1979 Sep 29;2(6193):762–764. doi: 10.1136/bmj.2.6193.762. [DOI] [PMC free article] [PubMed] [Google Scholar]

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