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. 1979 Sep 29;2(6193):764–766. doi: 10.1136/bmj.2.6193.764

Treatment of Crohn's disease with an unrefined-carbohydrate, fibre-rich diet.

K W Heaton, J R Thornton, P M Emmett
PMCID: PMC1596427  PMID: 519185

Abstract

Thirty-two patients with Crohn's disease were treated with a fibre-rich, unrefined-carbohydrate diet in addition to conventional management and followed for a mean of four years and four months. Their clinical course was compared retrospectively with that of 32 matched patients who had received no dietary instruction. Hospital admissions were significantly fewer and shorter in the diet-treated patients, who spent a total of 111 days in hospital compared with 533 days in the non-diet-treated control group. Whereas five of the controls required intestinal operation, only one diet-treated patient needed surgery. This is in strong contrast to general experience with this disease. Treatment with a fibre-rich, unrefined-carbohydrate diet appears to have a favourable effect on the course of Crohn's disease and does not lead to intestinal obstruction.

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Selected References

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

  1. Alexander-Williams J., Fielding J. F., Cooke W. T. A comparison of results of excision and bypass for ileal Crohn's disease. Gut. 1972 Dec;13(12):973–975. doi: 10.1136/gut.13.12.973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Allan R., Steinberg D. M., Williams J. A., Cooke W. T. Crohn's disease involving the colon: an audit of clinical management. Gastroenterology. 1977 Oct;73(4 Pt 1):723–732. [PubMed] [Google Scholar]
  3. De Dombal F. T., Burton I. L., Clamp S. E., Goligher J. C. Short-term course and prognosis of Crohn's disease. Gut. 1974 Jun;15(6):435–443. doi: 10.1136/gut.15.6.435. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Farmer R. G., Hawk W. A., Turnbull R. B., Jr Clinical patterns in Crohn's disease: a statistical study of 615 cases. Gastroenterology. 1975 Apr;68(4 Pt 1):627–635. [PubMed] [Google Scholar]
  5. Fielding J. F., Cooke W. T., Williams J. A. The incidence of recurrence in Crohn's disease. Surg Gynecol Obstet. 1972 Mar;134(3):467–469. [PubMed] [Google Scholar]
  6. Greenstein A. J., Janowitz H. D., Sachar D. B. The extra-intestinal complications of Crohn's disease and ulcerative colitis: a study of 700 patients. Medicine (Baltimore) 1976 Sep;55(5):401–412. doi: 10.1097/00005792-197609000-00004. [DOI] [PubMed] [Google Scholar]
  7. Nygaard K., Fausa O. Crohn's disease. Recurrence after surgical treatment. Scand J Gastroenterol. 1977;12(5):577–584. doi: 10.3109/00365527709181336. [DOI] [PubMed] [Google Scholar]
  8. Southgate D. A., Bingham S., Robertson J. Dietary fibre in the British diet. Nature. 1978 Jul 6;274(5666):51–52. doi: 10.1038/274051a0. [DOI] [PubMed] [Google Scholar]
  9. Truelove S. C., Pena A. S. Course and prognosis of Crohn's disease. Gut. 1976 Mar;17(3):192–201. doi: 10.1136/gut.17.3.192. [DOI] [PMC free article] [PubMed] [Google Scholar]

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