High amount of dietary fiber not harmful but favorable for crohn disease

Chiba M1, Tsuji T2, Nakane K3, Komatsu M4. Perm J. 2015 Winter;19(1):58-61. doi: 10.7812/TPP/14-124.
Author information

1Chief of the Inflammatory Bowel Disease Section at Akita City Hospital in Japan. mchiba@m2.gyao.ne.jp. 2Chief of the Gastrointestinal Endoscopy Section at Akita City Hospital in Japan. ac070289@akita-city-hp.jp. 3Chief of the Gastroenterology Division at Akita City Hospital in Japan. ac060950@akita-city-hp.jp. 4Gastroenterologist and the Director of Akita City Hospital in Japan. ac990892@akita-city-hp.jp.


Current chronic diseases are a reflection of the Westernized diet that features a decreased consumption of indigestible dietary fiber metabolized by gut bacteria to butyrate, which has a critical role in colonic homeostasis. The authors report on initiating a semivegetarian diet (SVD) for patients with inflammatory bowel disease. There was no untoward effect of the SVD. The remission rate with combined infliximab and SVD for patients with newly diagnosed Crohn Disease was 100%. Maintenance of remission on SVD without scheduled maintenance therapy with biologic drugs was 92% at 2 years. The authors recommend a high fiber intake to treat Crohn Disease.

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