MM19 Conference Book V1final
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5/17/2017<br />
The Elemental Diet in Context<br />
Western Diet and IBD<br />
Dietary<br />
Management<br />
Enteral<br />
Nutrition<br />
Feeding<br />
through GI<br />
IV<br />
Feeding<br />
Parenteral<br />
Nutrition<br />
Polymeric Diet<br />
Non-hydrolyzed<br />
Semi-Elemental Diet<br />
Partially-hydrolyzed<br />
Elemental Diet<br />
+<br />
Fully hydrolyzed<br />
Recommended<br />
Whole Food Diet<br />
Exclusion Diet?<br />
Exclusive<br />
Elemental Diet<br />
“Half” or “Partial”<br />
Elemental Diet<br />
Exclusion Diet?<br />
SCD?<br />
AI?<br />
FODMAPS?<br />
•Increased risk of IBD (CD<br />
and UC) for diet high in<br />
total fat, omega-6 fatty<br />
acids and animal proteins<br />
Researched<br />
therapeutic •Decreased risk of CD for<br />
diet?<br />
high in fruits and fiber<br />
•Decreased risk of UC for a<br />
diet high in vegetables.<br />
Individualized?<br />
© 2017 Gary Weiner, N.D., L.Ac.<br />
Hou JK, Abraham B, El-Serag H. Dietary intake and risk of developing inflammatory bowel disease: a systematic review of the literature. Am J Gastroenterol. 2011 Apr;106(4):563-73.<br />
Elemental Beginnings<br />
Elemental Beginnings<br />
William C. Rose.<br />
Burrill B. Chron<br />
"It has been my<br />
misfortune (or perhaps<br />
my fortune) to spend<br />
most of my<br />
professional life as a<br />
student of constipation<br />
and diarrhea…”<br />
Robert D. Simoni et al. J. Biol. Chem. 2002;277:e25<br />
©2002 by American Society for Biochemistry and Molecular Biology<br />
©U.S. National Library of medicine, National Institutes of health, Health & Human Services<br />
1980 Study<br />
1990 Retrospective Study<br />
• 32 CD cases requiring hospitalization<br />
• 4 week elemental diet<br />
• Resolution of abdominal pain, diarrhea,<br />
weakness, fever, weight loss after 2 weeks.<br />
• Normal biomarkers (SED, albumin,<br />
hemoglobin) after 4 weeks.<br />
• 1990 10-year retrospective study<br />
• ED-induced improvements in 96 of 113<br />
cases (85%)<br />
• Unsuccessful response in only 17 patients<br />
(15%)<br />
Br Med J. 1980 Nov 1;281(6249):1173-5<br />
Gut, 1990, 31, 1133-1137<br />
28<br />
3
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