{"id":3880,"date":"2025-08-11T14:40:42","date_gmt":"2025-08-11T14:40:42","guid":{"rendered":"https:\/\/cms.core-way.de\/?p=3880"},"modified":"2025-09-01T14:53:21","modified_gmt":"2025-09-01T14:53:21","slug":"this-diet-is-recommended-for-your-ced-according-to-the-ecco-guidelines-2025","status":"publish","type":"post","link":"https:\/\/cms.core-way.de\/en\/diese-ernaehrung-wird-laut-ecco-leitlinien-2025-fuer-deine-ced-empfohlen\/","title":{"rendered":"This diet is recommended for IBD according to the ECCO 2025 guidelines"},"content":{"rendered":"
\"Einen<\/figure>\n\n\n\n

Lange Zeit galt die Ern\u00e4hrung als weniger relevant f\u00fcr die Behandlung von Patient:innen mit der Diagnose Morbus Crohn oder Ulcerative colitis<\/a>. In einer neuen Ver\u00f6ffentlichung der Europ\u00e4ischen Crohn- und Colitis-Organisation (ECCO) wurde die Meinung zur Ern\u00e4hrung bei Menschen mit CED-Diagnose ge\u00e4ndert. In diesem Beitrag besch\u00e4ftigen wir uns mit den verschiedenen Ern\u00e4hrungsempfehlungen basierend auf den von der ECCO vorgelegten Leitlinien. Weitere Informationen k\u00f6nnen darin gefunden und nachgelesen werden.<\/p>\n\n\n\n

Empfohlen werden von der Europ\u00e4ischen Crohn- und Colitis-Organisation folgende Nahrungsmittel und Ern\u00e4hrungsformen: Sie k\u00f6nnen Remissionen induzieren oder eine bestehende Remission erhalten. Dabei betrachten wir zun\u00e4chst die Empfehlungen f\u00fcr Morbus Crohn und im Anschluss jene f\u00fcr Colitis ulcerosa.<\/p>\n\n\n\n

Dietary recommendation for Crohn's disease<\/strong><\/h2><\/div>\n\n\n\n

With Crohn's disease<\/a> wird eine Exclusive enteral nutrition (EEN)<\/strong> is recommended for achieving remission. EEN means that the nutrients are either introduced directly into the gastrointestinal tract in a liquid solution or taken orally as a drinkable meal - this involves exclusively<\/strong> consumes these liquid nutrient solutions, not normal food. This form of nutrition is said to be as effective as treatment with corticosteroids in adults.<\/p>\n\n\n\n

In addition to EEN, there is also the Partial enteral nutrition (PEN)<\/strong>. Only a part<\/strong> of the daily calorie requirement is covered by special drinking or tube feeds, while the remainder consists of selected, normal foods. PEN is therefore more flexible in everyday life, but still provides targeted, balanced nutrients.<\/p>\n\n\n\n

The ECCO guidelines suggest that patients with Crohn's disease who have a mild to moderate disease flare should undergo a PEN nutrition<\/strong> with a Exclusion diet<\/strong> in order to achieve remission.<\/p>\n\n\n\n

One Exclusion diet<\/strong> means that certain food groups or ingredients that could exacerbate symptoms or promote inflammation in individual patients are deliberately omitted. Which foods these are is determined on an individual basis - usually under medical or nutritional supervision.<\/p>\n\n\n\n

Changing your diet to a PEN diet can also help to maintain an existing remission. It is best to ask your doctor whether such nutritional therapy is an option for you.<\/p>\n\n\n\n

However, a complete switch to an exclusively PEN-based diet is not recommended for Crohn's disease.<\/p>\n\n\n\n

Empfehlungen bei der Ern\u00e4hrung f\u00fcr Colitis ulcerosa.<\/strong> <\/h2><\/div>\n\n\n\n

The Mediterranean diet, which is touted in many places as one of the healthiest diets, is only recommended to a limited extent when diagnosed with IBD.<\/p>\n\n\n\n

The Mediterranean diet can help patients with ulcerative colitis in particular to maintain an existing remission for longer, but only if it is combined with drug therapy. Mediterranean diets are not recommended for achieving remission.<\/p>\n\n\n\n

A diet that includes a lot of raw and red meat is not recommended for patients with ulcerative colitis, as this could impair the maintenance of remission. Avoiding dairy products is also not recommended as an induction therapy for remission in ulcerative colitis, as there are no clear studies on this. <\/p>\n\n\n\n

Der Einsatz von Nahrungserg\u00e4nzungsmittel in der Ern\u00e4hrung bei Morbus Crohn und Colitis ulcerosa<\/h3><\/div>\n\n\n\n

Chronic inflammatory bowel disease (IBD) often leads to nutrient deficiencies. These can be caused on the one hand by restrictive diets and on the other by episodic diarrhea, during which the body loses important vitamins, minerals and trace elements. For this reason, the ECCO guidelines discuss various supplements - including clear instructions on when and how they can be used.<\/p>\n\n\n\n

Turmeric<\/strong> darf bei Patient:innen mit Colitis ulcerosa zus\u00e4tzlich zur Einnahme von Mesalazin als Supplement verwendet werden. Kurkuma enth\u00e4lt den sekund\u00e4ren Pflanzenstoff Curcumin, der entz\u00fcndungshemmende Eigenschaften haben kann. Allerdings sollte Kurkuma nach Eintritt einer Remission zeitnah wieder abgesetzt werden. Die hochdosierte, langfristige Einnahme kann in seltenen F\u00e4llen die Leber belasten und zu anderen Nebenwirkungen f\u00fchren. Bei Morbus Crohn wird Kurkuma nicht empfohlen, da die Studienlage keine belastbare Aussage zur Wirksamkeit bei der Remissionsinduktion zul\u00e4sst.<\/p>\n\n\n\n

The herbal preparation Qingdai<\/strong> \u2013 aus der traditionellen chinesischen Medizin \u2013 wird in den Leitlinien erw\u00e4hnt. Es wird aus verschiedenen Indigo-Pflanzen gewonnen und untersucht, weil es entz\u00fcndungshemmende Effekte haben k\u00f6nnte. Bei Patient:innen mit Colitis ulcerosa kann Qingdai helfen, eine bestehende Remission zu erhalten. Aufgrund der m\u00f6glichen Nebenwirkungen wie Lebersch\u00e4den oder Ver\u00e4nderungen im Blutbild sollte es jedoch nur zeitlich begrenzt und unter \u00e4rztlicher Begleitung eingesetzt werden.<\/p>\n\n\n\n

Das k\u00f6nnen Pr\u00e4biotika in der Ern\u00e4hrung f\u00fcr dich tun<\/h3><\/div>\n\n\n\n

Prebiotics<\/strong> - i.e. indigestible food components such as inulin or oligofructose, which promote the growth of certain \"good\" intestinal bacteria - are not recommended by the ECCO for either Crohn's disease or ulcerative colitis when it comes to achieving or maintaining remission. They occur naturally in foods such as chicory, onions and garlic, but are also available in powder or capsule form. According to studies, their effect in the context of IBD is not sufficient to make a recommendation.<\/p>\n\n\n\n

If people with IBD experience symptoms such as abdominal pain, diarrhea, constipation, bloating or cramps, a Low FODMAP diet<\/strong> can be helpful. FODMAP stands for \"fermentable oligo-, di- and monosaccharides and polyols\" - these are certain short-chain carbohydrates and sugar alcohols that ferment easily in the intestine. This fermentation can lead to the symptoms mentioned above. The low FODMAP diet specifically reduces foods with a high FODMAP content, including some types of fruit, wheat products and pulses, in order to relieve the digestive tract.<\/p>\n\n\n\n

Nutrition for stoma carriers and bowel constriction<\/strong><\/h2><\/div>\n\n\n\n

An artificial bowel outlet is created and inflamed sections of bowel are removed. The ECCO does not currently provide any specific guidelines for nutrition after such an operation. There is only an indication that the output in the stoma bag can be higher with a very high-fiber diet than with a low-fiber diet.<\/p>\n\n\n\n

Also Narrowing of the gastrointestinal tract<\/strong> (Stenosen) k\u00f6nnen bei einer CED auftreten. Patient:innen mit Morbus Crohn, die zu solchen Verengungen neigen, sollten auf eine ballaststoffarme Ern\u00e4hrung achten. Das kann Komplikationen wie Blockaden oder Schmerzen zu vermeiden. Sprich hier am besten mit deinem Arzt oder deiner \u00c4rztin, ob diese Ern\u00e4hrungsform f\u00fcr dich sinnvoll ist.<\/p>\n\n\n\n

As recurrent diarrhea during episodes of illness or restrictive diets can lead to insufficient nutrient intake, the Supply of micro and macronutrients<\/strong> bei Personen mit CED-Diagnose regelm\u00e4\u00dfig \u00fcberpr\u00fcft werden. Dabei ist es sinnvoll, neben dem BMI auch die K\u00f6rperzusammensetzung zu ber\u00fccksichtigen. Einsch\u00e4tzungen \u00fcber Individuen sind so zutreffender. <\/p>\n\n\n\n

The ECCO guideline recommends checking the following values regularly:<\/p>\n\n\n\n

    \n
  • Hemoglobin<\/li>\n\n\n\n
  • Vitamin B9 supply (folic acid)<\/li>\n\n\n\n
  • Vitamin D status<\/li>\n\n\n\n
  • For patients on a vegan diet, also check the vitamin B12 level<\/li>\n<\/ul>\n\n\n\n

    Conclusion<\/strong><\/h3>\n\n\n\n

    Every IBD is individual - just like the diet that can support you in your everyday life. The tips presented here reflect the current state of scientific knowledge. Pay attention to what is good for you personally and what is not in order to alleviate your symptoms and maintain your remission.
    Talk about Major dietary changes<\/strong> immer mit deinem behandelnden Arzt oder deiner behandelnden \u00c4rztin. So kann sichergestellt werden, dass sie zu deiner individuellen Situation passen.
    Feel free to share your experiences in the comments - your input can also help others.<\/p>\n\n\n\n

    Sources:<\/h2><\/div>\n\n\n\n

    Svolos, Vaios and Gordon, Hannah and Lomer, Miranda C E and Aloi, Marina and Bancil, Aaron and Day, Alice S and Day, Andrew S and Fitzpatrick, Jessica A and Gerasimidis, Konstantinos and Gkikas, Konstantinos and Godny, Lihi and Hedin, Charlotte R H and Katsanos, Konstantinos and Narula, Neeraj and Russell, Richard K and Sarbagili-Shabat, Chen and Segal, Jonathan P and Sigall-Boneh, Rotem and Sokol, Harry and Wall, Catherine L and Whelan, Kevin and Wine, Eytan and Yanai, Henit and Hansen, Richard and Halmos, Emma P; ECCO Consensus on Dietary Management of Inflammatory Bowel Disease; Journal of Crohn's and Colitis; 10.1093\/ecco-jcc\/jjaf122; 2025.<\/p>\n\n\n\n

    <\/p>","protected":false},"excerpt":{"rendered":"

    For a long time, nutrition was considered less relevant for the treatment of patients diagnosed with Crohn's disease or colitis 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