Nutritional Support Therapy

Symptoms of inflammatory bowel disease (IBD) can sometimes make it difficult for you to get enough calories and nutrition from food and supplements alone.

Your healthcare provider may recommend nutritional support therapy when IBD complications, such as weight loss, surgery, obstruction, or severe inflammation, prevent you from getting the right nutrients.

Nutritional Support Therapy & IBD

Video Length 00:02:16

Nutritional Support Therapy & IBD When you have Crohn's disease or ulcerative colitis, and have experienced weight loss, obstruction, surgery, or severe inflammation it may be difficult to take it enough calories and nutrients from food and supplements and nutritional support may be necessary. Watch and listen to this video to learn more about different types of nutritional support therapy.

Transcript

00:00 some patients with IBD may need help 00:02 getting adequate nutrients weight loss 00:10 surgery obstruction or severe 00:14 inflammation may make it difficult for 00:16 IBD patients to absorb calories and 00:18 nutrients from food and supplements in 00:21 these cases nutritional support therapy 00:24 may be used to help patients avoid 00:26 malnutrition there are two types of 00:32 nutritional support therapy enteral and 00:35 parenteral enteral nutrition is when a 00:38 nutrient-rich formula is taken orally or 00:41 given through a feeding tube the tube 00:44 may be placed through the nostril or via 00:46 a surgical incision going directly into 00:49 the stomach or small intestine there are 00:52 different ways to approach enteral 00:54 nutrition partial enteral nutrition 00:56 means you receive some of your calories 00:59 through formula and the remainder from 01:01 solid food exclusive enteral nutrition 01:03 means you receive all calories your 01:06 formula this is proven to induce 01:09 remission in pediatric crohn's disease 01:11 after our nutrition isn't right for 01:13 everyone say your gut isn't working and 01:17 you're having a severe flare or you've 01:19 had complications like a bowel 01:21 perforation or a fistula and you need to 01:24 improve your nutrition before surgery in 01:26 these instances parenteral nutrition 01:28 might be a better option parenteral 01:30 nutrition is when nutrition can be 01:32 delivered intravenously allowing for 01:35 nutrients to go directly into the 01:37 bloodstream it can supplement enteral 01:39 nutrition or it can be the sole source 01:41 of nutrients when it is the sole source 01:44 you may hear it called TPM or total 01:47 parenteral nutrition 01:50 [Music] 01:53 make sure you discuss adding any 01:56 nutritional support to your diet with 01:58 your provider and registered dietitian 02:00 first all forms of nutrition support

Credits

Crohn's & Colitis Foundation

We can help you understand the different types of nutritional support and how they work to keep you as healthy as possible.

 

Enteral Nutrition

Enteral nutrition, or EN, is a way to give your body what it needs to stay healthy. “Enteral” means passing through the intestines. Enteral nutrition is usually taken in the form of a nutrient-rich formula which can either supplement your caloric intake or stand in as your main source of nutrition. Some common formulas you may have seen include Boost, Ensure, and Orgain.

Most enteral liquids contain all the proteins, carbohydrates, fats, minerals, and vitamins necessary to sustain you, even if you are not eating at all. Enteral nutrition also helps protect or improve your small intestine’s ability to absorb nutrients.

You can drink an enteral nutrition formula or it can be ingested through a feeding tube.

Common types of feeding tubes:

  • A nasogastric tube (NG tube) is placed through one of your nostrils and travels down to your stomach.

  • A nasoduodenal tube (ND tube) or nasojejunal tube (NJ tube) is placed through one of your nostrils down into portions of your small intestine.

  • Gastronomy tube (G-tube) or jejunostomy tube (J-tube) is put directly into your stomach or intestine through a surgical incision into your skin.

Depending on the severity of your disease or its symptoms, your doctor has choices as to how much formula you may need to consume to stay healthy.

Partial enteral nutrition, or PEN, means you receive between 30 and 50% of your calories from formula and the remainder from regular food.

Exclusive enteral nutrition, or EEN, means you receive all of your calories through formula and you do not eat regular food. EEN has been proven to induce remission in children with Crohn’s disease, and is a popular pediatric therapy in Western Europe.

 

Parenteral Nutrition

Parental nutrition, or PN, delivers necessary nutrients and calories directly into your bloodstream through a thin intravenous tube called a catheter that is inserted directly into a large vein in the chest, arm, or neck. “Parenteral” means outside of the digestive system.

Parenteral nutrition is used when your gut is not working and you are unable to absorb any nutrients you try to consume.

Potential complications requiring parenteral nutrition:

  • An extremely severe flare

  • Bowel perforation or fistula

  • Your nutrition needs to improve before surgery

  • If you’ve developed short bowel syndrome after multiple surgeries to remove portions of your small intestine

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