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.