專題報告學生謝璿指導老師翁慧玲營養師報告日期1221.pptVIP

Summary Western lifestyle and specific dietary patterns could be increase the risks for CD patient. We could use the dietary patterns that, characterized by fruit, vegetable and high amount of vitamin D to avoid them. * Thank you * * Risk factors of Crohn’s Disease 報告者:謝璿指導老師:翁慧玲營養師報告日期:12/21 Ingested Matter Affects Intestinal Lesions in Crohn’s DiseaseGregor Bartel, Ilse Weiss, Karl Turetschek,Wolfgang Schima, Andreas Pu¨spo¨k,Thomas Waldhoer, and Christoph Gasche Inflamm Bowel Dis 2008;14:374 –382 * Environmental factors of the modern Western life- style may trigger Crohn’s disease in susceptible individuals. Because such factors could be part of ingested matter, they intended to improve intestinal Crohn’s lesions by exclusion thereof. * Introduction Methods Patients 5 pilot cases with CD Primary: Assesed by MRI and endoscopy 14 pt with mild-to-moderate CD Secondary: Sonography, the CDAI and the IBDQ Ulceration of the left-sided colon or a significant lesion of the small bowel or right-sided colon that was assessable by means of MRI. Some patient will be excluded. Located in the neoterminal ileum in 2 cases In the upper small bowel in the remaining 3 cases Judged by global physician assessment 3 female, 2 male, median age 36, median duration of disease 7 years. * 3 intramuscular multivitamin injections at weeks 0, 3, and 6. Keep a nutrition and symptom diary throughout the study. Contacted by the dietician. Highly restricted diet composed of red meat, certain sourdough bread, rape oil, and fresh butter Fruits and vegetables were excluded Low-fat, high-carbohydrate diet that is complete in nutrients, but to avoid fiber-rich fruits and vegetables Not to eat any red meat. * Control group Diedary Intervention Active group All patients showed significant improvement of bowel symptoms within 4 to 6 weeks. Due to their individual success, 4 patients continued on a broadened organic diet including fruits and vegetables and were successfully avoiding surger