Abstract
Patients with ulcerative colitis who undergo an Meal-anal pouch operation without ileostomy have increased morbidity. The quality of life after ileal-anal pouch procedure is comparable to patients with ulcerative colitis treated medically. The number of anastomoses is an important prognostic indicator for early symptomatic recurrence after Crohn's disease. Diversion of the fecal stream for patients with Crohn's disease of the colon produces a high incidence of sustained idsease remission, but the prospect of future restoration of intestinal continuity is limited. The energy requirements for patients with active Crohn's disease is similar (30 to 35 kcal/kg body weight/d) to other hospitalized patients. Polymeric diets are as effective as steroids in inducing short-term remission in patients with active Crohn's disease. Food sensitivities in patients with Crohn's disease are of insufficient importance to warrant routine trials of elimination diets.
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