Case Report in Nutrients & Supplements: LH VIOLA Nutritional Management of Post-Resection Crohn’s Disease (IBD)

A new case report on the nutritional management of Inflammatory Bowel Diseases (IBD)—Crohn’s disease and ulcerative colitis—has been published online in Nutrienti & Supplementi. The report was authored by Luca Pozzi, a dietitian specializing in nutrition at the IRCCS Ca’ Granda Ospedale Maggiore Policlinico Foundation in Milan.

This case report describes the clinical course of a 78-year-old female patient with Crohn’s disease who underwent a 31-cm ileocecal resection with creation of a lateral ileostomy. At the time of admission, she presented with severe malnutrition (BMI 16.55 kg/m²), marked asthenia, and a 14% weight loss over two months.

The nutritional protocol included supplementation with LH VIOLA, integrated into a coordinated multidisciplinary treatment plan. After 10 months of treatment, the patient gained 11.5 kg (+34.2%) in weight, with her BMI rising from 16.55 to 21.37 kg/m² (+29.1%), normalization of biochemical parameters, and complete functional recovery—despite the clinical complexity of the case.

This publication explores the nutritional implications of terminal ileal resection, the risk of protein-energy and micronutrient deficiencies in the postoperative period, and the role of oral clinical nutrition in supporting weight and functional recovery in IBD.

A key message for clinical practice: in Crohn’s disease, particularly following intestinal resection, clinical nutrition is an integral part of treatment—not merely an adjunct.

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