Perioperative dietary therapy in inflammatory bowel disease

Michel Adamina; Konstantinos Gerasimidis; Rotem Sigall-Boneh; Oded Zmora; Anthony de Buck van Overstraeten; Marjo Campmans-Kuijpers; Pierre Ellul; Konstantinos Katsanos; Paulo Kotze; Nurulamin Noor; Judit Schäfli-Thurnherr; Stephan Vavricka; Catherine Wall; Nicolette Wierdsma; Nuha Yassin; Miranda Lomer

doi:10.1093/ecco-jcc/jjz160

Perioperative dietary therapy in inflammatory bowel disease

Michel Adamina, Konstantinos Gerasimidis, Rotem Sigall-Boneh, Oded Zmora, Anthony de Buck van Overstraeten, Marjo Campmans-Kuijpers, Pierre Ellul, Konstantinos Katsanos, Paulo Kotze, Nurulamin Noor, Judit Schäfli-Thurnherr, Stephan Vavricka, Catherine Wall, Nicolette Wierdsma, Nuha Yassin, Miranda Lomer

Nutritional Sciences

Research output: Contribution to journal › Article › peer-review

59 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: The incidence of inflammatory bowel disease (IBD) is rising worldwide and no cure is available. Many patients require surgery and they often present with nutritional deficiencies. Although randomized controlled trials of dietary therapy are lacking, expert IBD centres have long established interdisciplinary care, including tailored nutritional therapy, to optimize clinical outcomes and resource utilization. This topical review aims to share expertise and offers current practice recommendations to optimize outcomes of IBD patients who undergo surgery.

METHODS: A consensus expert panel consisting of dietitians, surgeons, and gastroenterologists convened by the European Crohn's and Colitis Organisation performed a systematic literature review. Nutritional evaluation and dietary needs, perioperative optimization, surgical complications, long-term needs, and special situations were critically appraised. Statements were developed using a Delphi methodology incorporating three successive rounds. Current practice positions were set when ≥80% of participants agreed on a recommendation.

RESULTS: A total of 26 current practice positions were formulated that address the needs of IBD patients perioperatively and in the long term following surgery. Routine screening, perioperative optimization by oral, enteral, or parenteral nutrition, dietary fibre and supplements were reviewed. IBD-specific situations, including management of patients with a restorative proctocolectomy, an ostomy, strictures, or short-bowel syndrome were addressed.

CONCLUSION: Perioperative dietary therapy improves the outcomes of IBD patients who undergo a surgical procedure. This topical review shares interdisciplinary expertise and provides guidance to optimize the outcomes of patients with Crohn's disease and ulcerative colitis taking advantage of contemporary nutrition science.

Original language	English
Journal	Journal of Crohn's & colitis
DOIs	https://doi.org/10.1093/ecco-jcc/jjz160
Publication status	E-pub ahead of print - 24 Sept 2019

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Adamina, M., Gerasimidis, K., Sigall-Boneh, R., Zmora, O., de Buck van Overstraeten, A., Campmans-Kuijpers, M., Ellul, P., Katsanos, K., Kotze, P., Noor, N., Schäfli-Thurnherr, J., Vavricka, S., Wall, C., Wierdsma, N., Yassin, N., & Lomer, M. (2019). Perioperative dietary therapy in inflammatory bowel disease. Journal of Crohn's & colitis. Advance online publication. https://doi.org/10.1093/ecco-jcc/jjz160

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title = "Perioperative dietary therapy in inflammatory bowel disease",

abstract = "BACKGROUND AND AIMS: The incidence of inflammatory bowel disease (IBD) is rising worldwide and no cure is available. Many patients require surgery and they often present with nutritional deficiencies. Although randomized controlled trials of dietary therapy are lacking, expert IBD centres have long established interdisciplinary care, including tailored nutritional therapy, to optimize clinical outcomes and resource utilization. This topical review aims to share expertise and offers current practice recommendations to optimize outcomes of IBD patients who undergo surgery.METHODS: A consensus expert panel consisting of dietitians, surgeons, and gastroenterologists convened by the European Crohn's and Colitis Organisation performed a systematic literature review. Nutritional evaluation and dietary needs, perioperative optimization, surgical complications, long-term needs, and special situations were critically appraised. Statements were developed using a Delphi methodology incorporating three successive rounds. Current practice positions were set when ≥80% of participants agreed on a recommendation.RESULTS: A total of 26 current practice positions were formulated that address the needs of IBD patients perioperatively and in the long term following surgery. Routine screening, perioperative optimization by oral, enteral, or parenteral nutrition, dietary fibre and supplements were reviewed. IBD-specific situations, including management of patients with a restorative proctocolectomy, an ostomy, strictures, or short-bowel syndrome were addressed.CONCLUSION: Perioperative dietary therapy improves the outcomes of IBD patients who undergo a surgical procedure. This topical review shares interdisciplinary expertise and provides guidance to optimize the outcomes of patients with Crohn's disease and ulcerative colitis taking advantage of contemporary nutrition science.",

author = "Michel Adamina and Konstantinos Gerasimidis and Rotem Sigall-Boneh and Oded Zmora and {de Buck van Overstraeten}, Anthony and Marjo Campmans-Kuijpers and Pierre Ellul and Konstantinos Katsanos and Paulo Kotze and Nurulamin Noor and Judit Sch{\"a}fli-Thurnherr and Stephan Vavricka and Catherine Wall and Nicolette Wierdsma and Nuha Yassin and Miranda Lomer",

note = "Copyright {\textcopyright} 2019 European Crohn{\textquoteright}s and Colitis Organisation (ECCO). Published by Oxford University Press. All rights reserved. For permissions, please email: [email protected].",

year = "2019",

month = sep,

day = "24",

doi = "10.1093/ecco-jcc/jjz160",

language = "English",

journal = "Journal of Crohn's & colitis",

issn = "1873-9946",

publisher = "Oxford University Press (OUP)",

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T1 - Perioperative dietary therapy in inflammatory bowel disease

AU - Adamina, Michel

AU - Gerasimidis, Konstantinos

AU - Sigall-Boneh, Rotem

AU - Zmora, Oded

AU - de Buck van Overstraeten, Anthony

AU - Campmans-Kuijpers, Marjo

AU - Ellul, Pierre

AU - Katsanos, Konstantinos

AU - Kotze, Paulo

AU - Noor, Nurulamin

AU - Schäfli-Thurnherr, Judit

AU - Vavricka, Stephan

AU - Wall, Catherine

AU - Wierdsma, Nicolette

AU - Yassin, Nuha

AU - Lomer, Miranda

PY - 2019/9/24

Y1 - 2019/9/24

N2 - BACKGROUND AND AIMS: The incidence of inflammatory bowel disease (IBD) is rising worldwide and no cure is available. Many patients require surgery and they often present with nutritional deficiencies. Although randomized controlled trials of dietary therapy are lacking, expert IBD centres have long established interdisciplinary care, including tailored nutritional therapy, to optimize clinical outcomes and resource utilization. This topical review aims to share expertise and offers current practice recommendations to optimize outcomes of IBD patients who undergo surgery.METHODS: A consensus expert panel consisting of dietitians, surgeons, and gastroenterologists convened by the European Crohn's and Colitis Organisation performed a systematic literature review. Nutritional evaluation and dietary needs, perioperative optimization, surgical complications, long-term needs, and special situations were critically appraised. Statements were developed using a Delphi methodology incorporating three successive rounds. Current practice positions were set when ≥80% of participants agreed on a recommendation.RESULTS: A total of 26 current practice positions were formulated that address the needs of IBD patients perioperatively and in the long term following surgery. Routine screening, perioperative optimization by oral, enteral, or parenteral nutrition, dietary fibre and supplements were reviewed. IBD-specific situations, including management of patients with a restorative proctocolectomy, an ostomy, strictures, or short-bowel syndrome were addressed.CONCLUSION: Perioperative dietary therapy improves the outcomes of IBD patients who undergo a surgical procedure. This topical review shares interdisciplinary expertise and provides guidance to optimize the outcomes of patients with Crohn's disease and ulcerative colitis taking advantage of contemporary nutrition science.

AB - BACKGROUND AND AIMS: The incidence of inflammatory bowel disease (IBD) is rising worldwide and no cure is available. Many patients require surgery and they often present with nutritional deficiencies. Although randomized controlled trials of dietary therapy are lacking, expert IBD centres have long established interdisciplinary care, including tailored nutritional therapy, to optimize clinical outcomes and resource utilization. This topical review aims to share expertise and offers current practice recommendations to optimize outcomes of IBD patients who undergo surgery.METHODS: A consensus expert panel consisting of dietitians, surgeons, and gastroenterologists convened by the European Crohn's and Colitis Organisation performed a systematic literature review. Nutritional evaluation and dietary needs, perioperative optimization, surgical complications, long-term needs, and special situations were critically appraised. Statements were developed using a Delphi methodology incorporating three successive rounds. Current practice positions were set when ≥80% of participants agreed on a recommendation.RESULTS: A total of 26 current practice positions were formulated that address the needs of IBD patients perioperatively and in the long term following surgery. Routine screening, perioperative optimization by oral, enteral, or parenteral nutrition, dietary fibre and supplements were reviewed. IBD-specific situations, including management of patients with a restorative proctocolectomy, an ostomy, strictures, or short-bowel syndrome were addressed.CONCLUSION: Perioperative dietary therapy improves the outcomes of IBD patients who undergo a surgical procedure. This topical review shares interdisciplinary expertise and provides guidance to optimize the outcomes of patients with Crohn's disease and ulcerative colitis taking advantage of contemporary nutrition science.

U2 - 10.1093/ecco-jcc/jjz160

DO - 10.1093/ecco-jcc/jjz160

M3 - Article

C2 - 31550347

SN - 1873-9946

JO - Journal of Crohn's & colitis

JF - Journal of Crohn's & colitis

ER -

Perioperative dietary therapy in inflammatory bowel disease

Abstract

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