The effect of CDED diet on the development of remission in a patient with persistent Crohn’s disease activity – a case report and workplace experience
Klára Matušinská1, Barbora Pipek2, Andrea Fialová3, Petr Fojtík Orcid.org 2
+ Affiliation
Summary
The CDED diet (Crohn‘s disease exclusion diet) is the first elimination diet that induces and maintains remission in adult patients with mild to moderate Crohn‘s disease. It is based on mandatory, recommended and prohibited foods. In our article we present our workplace experience, that is still limited, as well as the case report of a patient with a long history of Crohn‘s disease in ileocecal localization on immunosuppressive therapy with azathioprine. He has benefited significantly from the CDED diet, his abdominal symptomatology and laboratory parameters have improved. There has also been a significant improvement in the quality of his life.
Key words: CDED – Crohn’s disease – diet – alternative nutrition – relapse of the disease
Keywords
Crohn’s disease, diet, Crohn’s Disease Exclusion Diet (CDED), relaps nemoci, alternativní stravováníTo read this article in full, please register for free on this website.
Benefits for subscribers
Benefits for logged users
Literature
1. Zbořil V et al. Idiopatické střevní záněty. Praha: Mladá fronta 2018.
2. Lukáš M et al. Idiopatické střevní záněty. Nové trendy a mezioborové souvislosti. Praha: Grada Publishing 2020.
3. Sommer F, Rühlemann MC, Bang C et al. Microbiomarkers in inflammatory bowel disease. Gut 2017; 67 (9): 734–1738. doi: 10.1136/gutjnl- 2016-313678.
4. Lababidi N. Aktuální vědecké podklady pro dietu pro Crohnovu chorobu založenou na vyloučení některých potravin (CDED). Gastroent Hepatol 2020; 74 (3): 240–245. doi: 10.14735/ amgh2020240.
5. Bronský J, Frühauf P, Hradský O et al. Stanovisko Pracovní skupiny pro dětskou gastroenterologii, hepatologii a výživu České pediatrické společnosti (PSDG ČPS) k používání dietních opatření v léčbě Crohnovy nemoci u dětských pacientů. Gastoent Hepatol 2019; 73 (6): 472–476. doi: 10.14735/amgh2019472
6. Mitrová K. Dieta CDED v indukční fázi Crohnovy choroby. Gastroent Hepatol 2019; 73 (6): 476–480. doi: 10.14735/amgh2019476.
7. Sigall Boneh R, Pfeffer-Gik T, Segal I et al. Partial enteral nutrition with a Crohn’s disease exclusion diet is effective for induction of remission in children and young adults with Crohn’s disease. Inflamm Bowel Dis 2014; 20 (8): 1353–1360. doi: 10.1097/MIB.0000000000000110.
8. Sigall Boneh R, Sarbagili Shabat C, Yanai H et al. Dietary therapy with the Crohn’s disease exclusion diet is a successful strategy for induction of remission in children and adults failing biological therapy. J Crohns Colitis 2017; 11 (10): 1205–1212. doi: 10.1093/ecco-jcc/jjx071.
9. Levine A, Wine E, Assa A et al. Crohn’s disease exclusion diet plus partial enteral nutrition induces sustained remission in a randomized controlled trial. Gastroenterology 2019; 157 (2): 440–450. doi: 10.1053/j.gastro.2019.04.021.