DOES EXCLUSION OF ENTERAL LIPID ASSIST REMISSION IN CROHNS-DISEASE

Based on the improvement of Crohn's disease (CD) with elemental diets, we treated a patient with recurrent stenosing disease using prednisol one and drastic reduction of oral lipid intake. Complete symptomatic a nd good radiological improvement took place. A newly proposed hypothes is for CD suggests that enteral lipids together with certain luminal b acterial fragments become strongly antigenic to produce an inflammator y reaction analogous to the adjuvant response. Because of the apparent success of dietary lipid exclusion in this patient, we suggest that i t be considered as a future option for management of acute CD.