Skip to main content
SpringerLink
Log in

Ernährung bei Krankheiten des Dünn- und Dickdarms

  • Chapter
Darmkrankheiten

  • 123 Accesses

Zusammenfassung

Der Verdacht eines Zusammenhangs zwischen den Ernährungsgewohnheiten und dem Auftreten chronisch entzündlicher Darmererkrankungen konnte bisher nicht bestätigt werden. Untersuchungen hinsichtlich des Konsums an raffinierten Kohlenhydraten, chemisch aufbereiteten Fetten und Ballaststoffen sowie der Ernährung im Säuglingsalter und der Reaktionen auf Bäckerhefe erbrachten keinen Beweis für einen Einfluß der Ernährung auf die Ätiopathogenese chronisch entzündlicher Darmerkrankungen. Lediglich in Bezug auf den Verzehr von raffiniertem Zucker konnte eine Tendenz festgestellt werden, daß Patienten mit M. Crohn einen höheren Konsum vor der Erstdiagnose aufzeigen als Patienten mit Colitis ulcerosa und darmgesunde Kontrollpersonen. So zeigte auch eine kürzlich veröffentlichte Studie von Reif et al. (1997) zu dem Einfluß von Ernährungsfaktoren auf die Entstehung chronisch entzündlicher Darmerkrankungen eine positive Korrelation zwischen dem Saccharoseverbrauch und dem Risiko für einen M. Crohn. Für Colitis ulcerosa bestand eine positive Assoziation mit einem erhöhten Fettkonsum, insbesondere tierischen Fetten und Cholesterin.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

Morbus Crohn/Colitis ulcerosa

  • Asian A, Tridafilopoulos G (1992) Fish oil fatty acid supplementation in active ulcerative colitis: a double-blind, placebo-controlled, crossover study. Am J Gastroenterol 87:432–437

    Google Scholar 

  • Axelsson C, Jarnum S (1977) Assessment of the therapeutic value of an elemental diet in chronic inflammatory bowel disease. Scand J Gastroenterol 12:89–95

    PubMed  CAS  Google Scholar 

  • Ballegaard M, Bjergstrom, Brondum S, Hylander E, Jensen L, Ladefoged K (1997) Self-reported food intolerance in chronic inflammatory bowel disease. Scand J Gastroenterol 32:569–571

    Article  PubMed  CAS  Google Scholar 

  • Fernández-Bañares F, Cabre E, Esteve-Comas M, Gassull MA (1995) How effective is enteral nutrition in inducing clinical remission in active Crohn’s disease? A meta-analysis of the randomized clinical trials. JPEN 19:356

    Article  Google Scholar 

  • Gassull MA, Fernández-Bañares F, Esteve-Comas M (1995) Nutrition in inflammatory bowel disease. Payne-James JJ, Grimble G, Silk D (Hrsg). In: Artificial nutrition support in clinical practice. London: Edward Arnold, S 403–416

    Google Scholar 

  • González-Huix F, De Léon R, Fernández-Bañares F, Estéve M, Cabré E, Acero D et al. (1993) Polymeric enteral diets as primary treatment of active Crohn’s disease: A prospective steroid controlled trial. Gut 34:778–782

    Article  PubMed  Google Scholar 

  • Gorard DA, Hunt GB, Payne-James JJ, Palmer KR, Rees RGP, Clark ML et al. (1993) Initial response and subsequent course of Crohn’s disease treated with elemental diet or prednisolone. Gut 34:1198–1202

    Article  PubMed  CAS  Google Scholar 

  • Greenberg GR (1993) Nutritional management of inflammatory bowel disease. Semin Gastrointest Dis 4:69–86

    Google Scholar 

  • Griffiths AM, Ohlsson A, Sherman PM, Sutherland LR (1995) Meta-analysis of enteral nutrition as a primary treatment of active Crohn’s disease. Gastroenterology 108:1056–1067

    Article  PubMed  CAS  Google Scholar 

  • Hunt JB, Payne-James JJ, Palmer KR, Kumar PK, Clark ML, Farthing MJG et al. (1989) A randomized controlled trial of elemental diet and prednisolone as primary therapy in acute exacerbations of Crohn’s disease. Gastroenterology 96:A224 (Abstract)

    Google Scholar 

  • King TS, Woolner JT, Hunter JO (1997) Review article: the dietary management of Crohn’s disease. Aliment Pharmacol Ther 11:17–31

    Article  PubMed  CAS  Google Scholar 

  • Lochs H, Steinhardt HJ, Klaus-Wentz B, Zeitz M, Vogelsang H, Sommer H et al. (1991) Comparison of enteral nutrition and drug treatment in active Crohn’s disease. Results of the European Cooperative Crohn’s Disease Study IV. Gastroenterology 101:881–888

    PubMed  CAS  Google Scholar 

  • Malchow H, Steinhardt HJ, Lorenz-Meyer H, Strohm WD, Rasmussen S, Sommer H (1990) European Cooperative Crohn’s Disease Study III. Scand J Gastroenterol 25:235–244

    PubMed  CAS  Google Scholar 

  • O’Morain C, Segal AW, Levi AJ (1984) Elemental diet as primary treatment of acute Crohn’s disease: A controlled trial. Br Med J 28:1859–1862

    Article  Google Scholar 

  • Rannem T, Ladefoged K, Hylander E, Hegnhoj J, Jarnum S (1992) Selenium status in patients with Crohn’s disease. Am J Clin Nutr 56:933–937

    PubMed  CAS  Google Scholar 

  • Reif S, Klein I, Lubin F, Farbstein M, Hallak A, Gilat T (1997) Pre-illness dietary factors in inflammatory bowel disease. Gut 40:754–760

    Article  PubMed  CAS  Google Scholar 

  • Rocchio MA, Cha CJ, Haas KF, Randall HT (1974) Use of chemically defined diets in the management of patients with acute inflammatory bowel disease. Am J Surg 127:469–475

    Article  PubMed  CAS  Google Scholar 

  • Rosenberg IH, Bengoa JM, Sitrin MD (1985) Nutritional aspects of inflammatory bowel disease. Annu Rev Nutr 5:463–484

    Article  PubMed  CAS  Google Scholar 

  • Seidman EG, Griffiths A, Jones A, Issenman R (1992) Semi-elemental diet versus prednisone in paediatric Crohn’s disease. Gastroenterology 104:A778 (Abstract)

    Google Scholar 

  • Seidman EG, Lohoues MJ, Turgeon J, Bouthillier L, Morin CL (1991) Elemental diet versus prednisolone as initial therapy in Crohn’s disease: early and long term results. Gastroenterology 100:A250 (Abstract)

    Google Scholar 

  • Stein J, Menge F (1998) Malabsorption of nutrients and malnutrition in the adult patients. In: Lembcke B, Kruis W, Sartor RB, eds. Systemic Manifestations of IBD: The pending Challenge for subtle Diagnosis and Treatment. Kluwer, 1997, 1–18

    Google Scholar 

  • Weinand I, Jordan A, Caspary WF, Stein J (1997) Ernährung in der Äthiopathogenese chronisch entzündlicher Darmerkrankungen. Z Gastroenterol 35:637–649

    PubMed  CAS  Google Scholar 

  • Zurita VA, Rawls DE, Dyck WP (1995) Nutritional Support in inflammatory bowel disease. Dig Dis 13:92–107

    Article  PubMed  CAS  Google Scholar 

Kurzdarmsyndrom

  • Byrne TA, Persinger RL, Young LS, Ziegler TR, Wilmore DW (1995) A new treatment for patients with short-bowel syndrome — growth hormone, glutamine and a modified diet. Ann Surg 222: 243–255

    Article  PubMed  CAS  Google Scholar 

  • Cosnes J, Carbonnel F (1995) Oral and enteral nutrition management and drug treatment of short bowel syndrome. Clin Nutr 14(Suppl. I): 16–20

    Article  PubMed  Google Scholar 

  • Dudrick SJ, Latifi R, Fosnocht DE (1991) Management of the short bowel syndrome. Surg Clin North Am 71:625–643

    PubMed  CAS  Google Scholar 

  • Ladefoged K, Hessov I, Jarnum S (1996) Nutrition in short-bowel syndrome. Scand J Gastroenterol 31(Suppl 216):122–131

    Article  Google Scholar 

  • Lennard-Jones JE (1990) Oral rehydration solutions in short-bowel syndrome. Clin Ther 12:129

    PubMed  Google Scholar 

  • McIntire PB, Fitchey M, Lennard-Jones JE (1986) Patients with a high jejunostomie do not need a special diet. Gastroenterol 91:25

    Google Scholar 

  • Messing B, Pigot F, Rongier M, Morin C, Ndeindoum U, Rambaud JC (1991) Intestinal absorption of free oral hyperalimentation in the very short bowel syndrome. Gastroenteroly 100:1502

    CAS  Google Scholar 

  • Mjaaland M, Unneberg K, Jenssen TG, Revhaug A (1995) Experimental study to show that growth hormone treatment before trauma increases glutamine uptake in the intestinal tract. Br J Surg 82:1076–1079

    Article  PubMed  CAS  Google Scholar 

  • Nightingale JMD (1995) The short-bowel syndrome. Eur J Gastroenterol Hepatol 7:514–520

    Article  PubMed  CAS  Google Scholar 

  • Nightingale JMD, Lennard-Jones JE, Gertner DJ, Wood SR, Bartram CI (1992) Colonic preservation reduces need for parenteral therapy, increases incidence of renal stones, but does not change high prevalence of gall stones in patients with a short bowel. Gut 33:1493–1497

    Article  PubMed  CAS  Google Scholar 

  • Nordgaard I, Stenback Hansen B, Brofbech Mortensen P (1994) Colon as a digestive organ in patients with short bowel. Lancet 343:373–376

    Article  PubMed  CAS  Google Scholar 

  • Ovesen L, Chu R, Howard L (1983) The influence of dietary fat on jejunostomy output in patients with severe short bowel syndrome. Am J Clin Nutr 38:270–277

    PubMed  CAS  Google Scholar 

  • Westergaard H (1998) Short bowel syndrome. In: Feldman M, Scharschmidt BF, Sleisenger MH, eds. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease, 6nd ed. WB Saunders Company, Philadelphia, S 1548–1556

    Google Scholar 

Sprue

  • Ciclitira J, Ellis HJ, Evans DJ, Lennox ES (1985) Relation of antigenic structure of cereal proteins to their toxicity in coeliac patients. Br J Nutr 53:39–45

    Article  PubMed  CAS  Google Scholar 

  • Belitz HD, Grosch W (Hrsg) Lehrbuch der Lebensmittelchemie. Springer (1992) S 609–668

    Google Scholar 

  • Hardman CM, Garioch JJ, Leonard JN, Thomas HJ, Walker MM, Lortan JE et al. (1997) Absence of toxicity of oats in patients with dermatitis herpetiformis. N Engl J Med 337:1884–1887

    Article  PubMed  CAS  Google Scholar 

  • Janatuinen EK, Pikkarainen PH, Kemppainen TA, Kosma VM, Järvinen RM, Uusitupa MI et al. (1995) A Comparison of diets with and without oats in adults with celiac disease. N Engl J Med 333:1033–1037

    Article  PubMed  CAS  Google Scholar 

  • Kumar PJ, Walker-Smith J, Milla P, Harris G, Colyer J, Halliday R (1988) The teenage coeliac: follow up study of 102 patients. Arch Dis Child 63:916–920

    Article  PubMed  CAS  Google Scholar 

  • Mayer M, Greco L, Troncone R, Auricchio S, Marsh MN (1991) Compliance of adolescents with coeliac disease with a gluten free diet. Gut 32:881–885

    Article  PubMed  CAS  Google Scholar 

  • Shewry PR, Tatham AS, Kasandra DD (1992) Cereal proteins and coeliac disease. In: Marsh MN (Hrsg) Celiac disease. Oxford, England: Blackwell Scientific S 305–348

    Google Scholar 

  • Srinivasan U, Leonard N, Jones E, Kasarda DD, Weir DG, O’Farrelly et al. (1996) Absence of oats toxicity in adult coeliac disease. BMJ 313:1300–1301

    Article  PubMed  CAS  Google Scholar 

Laktoseintoleranz

  • Kolars C, Levitt MD, Aouji M, Savaiano DA (1984) Yoghurt — an autodigesting source of lactose. New Engl J Med 310:1

    Article  PubMed  CAS  Google Scholar 

Nahrungsmittelallergie

  • Bruijnzeel-Koomen C, Ortolani C, Aas K, Bindslev-Jensen C, Björksten B, Wüthrich B (1995) Adverse reactions to food: Position paper of the European Academy of Allergy and Clinical Immunology. Allergy 50:623–635

    Article  PubMed  CAS  Google Scholar 

  • Jäger L, Wüthrich B (Hrsg) Nahrungsmittelallergien und-intoleranzen. Gustav Fischer Verlag, Ulm 1998

    Google Scholar 

  • Reimann HJ, Ring J, Ultsch B, Wendt P (1985). Intragastral provocation under endoscopic control (IPEC) in food allergy: mast cell and histamine changes in gastric mucosa. Clin Allergy 15:195–202

    Article  PubMed  CAS  Google Scholar 

  • Wüthrich B, Schmid-Grendelmeier P (1995) Nahrungsmittelallergien. Internist 36:1052–1062

    PubMed  Google Scholar 

Download references

Authors
  1. A. Jordan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Stein
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Medizinische Klinik II Zentrum der Inneren Medizin, Johann Wolfgang Goethe Universität, Theodor-Stern-Kai 7, 60950, Frankfurt/Main, Deutschland

    Wolfgang F. Caspary  & Jürgen Stein  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jordan, A., Stein, J. (1999). Ernährung bei Krankheiten des Dünn- und Dickdarms. In: Caspary, W.F., Stein, J. (eds) Darmkrankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59960-6_68

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59960-6_68

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64197-8

  • Online ISBN: 978-3-642-59960-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation