Parenteral nutrition in Crohn's disease

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Abstract
A retrospective study of 50 consecutive patients admitted with Crohn''s disease was undertaken to assess the place of parenteral nutrition in the management of this disease. Following treatment, median weight Hb and plasma albumin were the same in 3 treatment groups.sbd.parenteral nutrition (12), low-residue diet (9) and normal diet (29). Of 13 courses of parenteral nutrition used in 12 patients, 10 were for periods of < 14 days (median 4 days). Most patients with nutritional problems associated with Crohn''s disease can be treated successfully by one or another form of enteral nutrition. Parenteral nutrition, if required, is usually only necessary for periods of < 2 wk, to support patients over a critical period in their illness. Occasionally prolonged parenteral nutrition is required for short bowel syndrome or advanced fistulous disease. In these cases, training the patient to infuse himself with nutrients at home is recommended.