Therapeutic Diets in Crohn’s Disease Management: What Role Do They Play? (Medscape)

In managing Crohn’s disease (CD), diet plays a significant role in symptom management and potentially impacts disease progression. Dr. Berkeley Limketkai and dietitian Kelly Issokson highlight that exclusive enteral nutrition and diets like the Mediterranean and Crohn’s Disease Exclusion Diet may help induce remission in CD. They emphasize the benefits of a healthy dietary pattern over specific “designer” diets, noting fiber’s positive impact on symptoms. For some, low-FODMAP diets can alleviate symptoms, though caution is advised due to potential nutrient deficiencies. Vitamins like vitamin D are essential due to CD’s nutrient absorption challenges, especially with inflammation. While evidence for probiotics and prebiotics in reducing inflammation in CD is limited, dietary sources may still benefit gut health. Though not a replacement for medication, dietary interventions such as partial enteral nutrition may prolong remission and reduce surgical need by supporting inflammation control.