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Beat Crohn's! Getting to Remission with Enteral Nutrition Perfect Paperback – June 15, 2009

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Editorial Reviews


Crohn's disease can cause pain and major changes in lifestyle and sometimes leads to the surgical removal of large sections of bowel. Traditional therapies in the United States include drugs, nutritional supplements, and surgery, all of which can have major adverse effects. Medical writer Oppenheimer explains how enteral nutrition, a method of receiving one's daily nutritional requirements through a liquid diet, may be a safe alternative with outcomes that can be just as good as other therapies. She explains what enteral nutrition is, provides information on more traditional treatments for Crohn's, and uses research to show how enteral nutrition compares with those treatments. Types of formulas and methods of administration are discussed, along with benefits and drawbacks. Oppenheimer examines the special needs of children with Crohn's as well as other types of diets, such as low-carb, food-exclusion, and lactose-free approaches. The appendixes include a glossary, children's growth charts, and sources of enteral nutrition formulas, as well as an extensive bibliography. While providing no medical credentials, Oppenheimer offers a readable, well-documented book that will be of value in consumer-health collections. Janet M. Schneider, James A. Haley Veterans' Hosp., Tampa --Copyright 2009 Reed Business Information, Inc. --Library Journal

The book is easy to read and is detailed, accurate and well researched....It is a must read for all professionals involved in treating Crohn's disease. Hazel Duncan, Paediatric Dietitian, Royal Shrewsbury Hospital --Dietetics Today

Beat Crohn's! Getting to Remission with Enteral Nutrition is skillfully written by Margaret A. Oppenheimer, an expert in enteral nutrition. For anybody who may be considering this treatment option, it will be an invaluable guide to implementing the diet and comparing it to other treatment options. --Take Charge (Crohn's and Colitis Foundation of America)

About the Author

Margaret A. Oppenheimer has over 10 years' experience as a medical writer. She has personal experience with enteral nutrition.

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Product Details

  • Perfect Paperback: 304 pages
  • Publisher: Solutions; 1st edition (June 15, 2009)
  • Language: English
  • ISBN-10: 0982123442
  • ISBN-13: 978-0982123447
  • Product Dimensions: 1 x 6 x 9 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (15 customer reviews)
  • Amazon Best Sellers Rank: #705,869 in Books (See Top 100 in Books)

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Top Customer Reviews

Format: Perfect Paperback Verified Purchase
My 7 year old has primarily small bowel Crohn's Disease and we were trying to make the very painful choice of a biologic medication or enteral nutrition for his next treatment. He was steroid dependant and that kept him from growing. He was also taking an immunosuppressant that was not working to keep him in remission.

I had searched the internet for medical publications, and even met with a specialist who is considered one of the top rated in the US for pediatric Inflammatory Bowel Disease for a second opinion on treatment. The enteral nutrition was recommended but not exactly embraced.

When I quite literally stumbled upon this book, it was much needed affirmation and refreshing validation that we were making the right choice for my son. It blessed the treatment by compiling years of published research and international data in an easy to read, layperson friendly format.

The question becomes, why would you choose a 'big-gun' treatment or surgery before trying a much safer method, that allows children to grow and mature normally?

My son began this treatment on April 8, 2010 and is now in remission from Crohn's Disease. I brought this book to the hospital with us to share with medical students and residents since no one had any experience with this treatment. Ben is now gaining weight and off all medications (after only 4 weeks). The treatment is easy and well tolerated by my son. Every parent with a child with Crohn's Disease should be given this book at the time of diagnosis. Some day, this treatment will be the first line choice for Pediatric Crohn's Disease in the US as it is in Europe, Japan and Canada.
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I agree with the other reviewer that Jini Thompson's books "Listen to your Gut" and "The IBD Remission Diet" are far better and they have complete instructions. She also has a powdered formula called "Absorb Plus" which is the best out there (we have tried many). I will not lie; this diet and the natural supplements are not cheap and it will be hard for your whole family, but my 8 yr old daughter has put on 8 pounds and grown an inch over the past three months. I have seen it work with my own eyes. If you don't want to commit to the whole diet at first, just try the L-glutamine - that's what we did and after three days my daughters stools firmed up dramatically. Please try it.
Also, we went to one of the top childrens hospitals(Philadelphia) in the country and I will say they are efficient at diagnosing thier patients, but they have no idea at how to treat their patients. They wanted to put my daughter on Remicade as a first treatment option for the rest of her life without trying anything else. They said diet and nutrition are irrelevent (which is B.S.). They always want to just treat the symptoms, not the cause (you CAN heal your intestines!).

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Beat Crohn's provided me with a very interesting list of references useful for my research on this group of diseases. I am a physician that treats IBD patients everyday and I use the IBD remission diet method intialy developed by Jini Patel Thompson.

Oppenheimer describes the method from a theoretical perspective, she herself suffers from some form of IBD, but she says this method did not work for her, obviating that small (big) detail she ventures to recommend this to other IBD patients without mentioning why this method did not work for her.
I am supposing that the method, as she describes it, would probably fail as it is based on food replacement formulas that in my experience perform very poorly, all the supplements she mentions in her Appendix B provoke bloating, nausea and early drop from the treatments.
On top of this there is no mention on how to address the recovery of the bacterial repopulation of the gut, probably the most important issue described by most medical researchers.
Another important point that is not mentioned is how to start, maintain and finish the Enteral Nutrition.
How does a bleeding, diarrheal, in pain person knows if he can use this method, how would it modify his symptoms and when should he/she should switch to solid food.
How and when should solid food be reintroduced?
What to do if the patient has persistent bleeding and anemia?
What about Vitamins, Oils, Calcium, Hormones, etc?
How should a medicated patient act? Is it safe to be on medicines (inmmunesupressives for example) and at the same time start with this Enteral diet?
How to adjust dosages or be aware of interactions?
How to deal with potential infections?
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Format: Perfect Paperback
The cover of this book has a quote that I agree with. "[Beat Crohn's is] the most detailed and accurate written account of this topic I have come across". It provided a comprehensive summary of the topic of enteral nutrition that would be beneficial to an IBD sufferer of any age. While the book does focus on Crohn's Disease there is discussion of other forms of IBD in the book (and even Irritable Bowel Syndrome).

The book gives a strong argument for why someone should consider Enteral nutrition and there is a good comparison of it with other commonly prescribed drugs. The book does a good job of separately discussing the needs of children and adults and has a separate section for people with more complicated IBD conditions. I was a bit disappointed with the overall discussion on the drawbacks of the Enteral nutrition though. As someone who has been on it, I feel that there was not enough discussed on the drawbacks of the treatment, especially the isolation that comes from not being able to participate in the act of eating with other people. There is also the embarrassment of having to explain to people why you are not eating and why you are using this treatment. To the book's credit this and other issues are mentioned briefly, however I wish there was more written on it.

Many potential worries or questions that people considering this treatment option are answered. I would have liked to see a bit more detail on how to convince a medical practitioner that this treatment option is right for you.

Overall I feel this is an excellent book for people with IBD who are interested in a different treatment option besides surgery or the more common drugs.
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