A Case Report: Changing Medical Nutrition Therapy According to the Complications of Crohn’s Disease

Abstract

Inflammatory bowel diseases (IBD) are Crohn’s disease (CD) and Ulcerative colitis (UC) with two main form cause chronic, recurrent inflammation in the gastrointestinal tract. These diseases are thesequence of inflammatory events triggered by in compatible immunological responses that affect all layers of the gut, including gastrointestinal flora, genetic susceptibility, consequent taggregation of environmental and immunological factors. CD affects the mucosa by inflammatory activities in there gion as mouth, esophagus, stomach, intestine and anus; while UC affects only colonic mucosa. The etiopathogenesis of CD is not fully understood; smoking, infection, appendectomy, duration of breastfeeding, eating habits, medications, socioeconomic factors and stress are associated with CD. It is known that gene mutation, which plays an important role in the immune system, is caused by auto immune diseases and IBD. CD seen usually between 15-30 years; it makes up serious complications; fistula, intestinal obstruction and intraabdominal abscess. Hospitalized CD has a 75% nutritional deficiency and severe micronutrient losses; especially malabsorbsion, changes in nutrient metabolism, severity of inflammation, nausea, vomiting, increase in requiretment’s/decrease in consumption due to abdominal pain, adverse effect to steroids of vitamins and minerals, injury location of GI,resection, length of diseased gut and duration/frequency exacerbation of the diseaes, malnutrition, protein, vitamin, mineral, trace element losses cause by it. The nutritional therapy of CD may change and a dynamic process; according to remission and active rotation, before and after surgery developing complications. Nutritional therapy should be aimed at reducing the attacs, protecting the body composition during the active phase, preventing and replacing macro/micronutrient losses, and improving the quality of life. This article discusses the fact that different nutritional therapy strategies are performed according to developing complications of a CD who has a CD.