IBD Case Study

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There has been a strong association of IBD diagnosis with low levels of folate. Therefore, Patients with IBD are prophylactically treated with Folate. Heyman et al. (2009) explained, “ Folate, water –soluble B vitamin, has been shown to prevent DNA damage and cell injury, which can lead to different types of cancer including those associated with IBD” (p.2).
Nevertheless, serum folate level in pediatric patients is insufficiently described. Thus, it is unclear whether the newly diagnosed IBD patients should be prescribed Folate supplements at the early stage of diagnosis.
The main goal of the research described in the article by Heyman et al.(2009), “to compare folate concentration between children with newly diagnosed IBD and healthy controls”
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Alkhouri et al. (2013) explains this result, “Vitamin E is found in numerous foods; thus, overt deficiency is rare and seen in individuals who are unable to absorb the vitamin, or have inherited abnormalities”(p.91).
In terms of Vitamin D deficiency in children with IBD, Alkhouri et al. (2013) found that both groups, patients with IBD and healthy participants, had a low level of Vitamin D level. This is mainly due to the fact that the main source of Vitamin D, the human body is getting by photosynthesis or sun exposure and only scant amount from food. Thus, the risk of Vitamin D malabsorption due to IBD is irrelevant. Therefore, Alkhouri et al. (2013) suggest that all pediatric patient should be periodically screened for Vitamin D level and treated accordingly (p.92).
Overall I believe that the authors proved their hypothesis that the patients with IBD are mainly deficient with fat-soluble vitamin A and zinc and that the providers should be alert to it and consider it in the treatment of children with IBD.

An Anti-Inflammatory Diet As Treatment For Inflammatory Bowel Disease: A Case Series
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Presently the treatment of IBD consists of long term use of “corticosteroids, immunomodulators, and biologics” (Olendzki et al., 2014, p.1). In some severe cases surgical interventions such as colectomy for patients with UC, however sometimes could be complicated to pouchitis and may require additional surgical intervention ((Olendzki et al., 2014, p.2). Previous dietary approach of IBD treatment as Olendzki et al.(2014) emphasized,” have been largely limited to the use of enteral and parenteral nutrition with the aim of providing bowel rest” (p.2). In this article Olendzki et al.(2014) Investigated a different approach to treatment of IBD, and ”Anti -Inflammatory Diet” (AID)which is a multistage diet that reduces the inflammation of intestinal mucosa by restriction of some type of carbohydrates, increased intake of pre and probiotics ; increase awareness of types of fats; assess overall nutritional status by investigating certain food intolerance and reveal and treat nutrient deficiency and lastly to adjust the texture of the food based on individual tolerance and therefore improve the absorbance of the essential nutrients

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