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<p>Chronic inflammatory bowel diseases (IBD), such as Crohn’s disease (CD) and ulcerative colitis (UC), increasingly occur during childhood and adolescence and are associated with considerable somatic, psychological and social burdens. Despite advances in pharmacotherapy, interest in complementary and nonpharmacological approaches continues to grow. A&#xa0;major obstacle to their evidence-based application in pediatric care is the lack of robust clinical data. Nutritional interventions (exclusive enteral nutrition, EEN, Crohnʼs disease exclusion diet, CDED, plant-based diets), probiotics, selected phytotherapeutic agents and multimodal mind-body medicine concepts integrating mindfulness, physical activity and self-efficacy demonstrate promising potential. Therapeutic goals such as improved quality of life, greater adherence and reduced inflammatory activity must be carefully weighed against the risks of unsupervised self-medication and variable product quality. A&#xa0;structured medically supervised program incorporating nutritional, psychological and complementary medical expertise can, in the best case, sustainably and positively influence the course of the disease.</p>

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Nichtpharmakologische und komplementäre Therapieverfahren bei chronisch-entzündlichen Darmerkrankungen

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月19日

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  • J. Langhorst,
  • A. Langhorst

摘要

Chronic inflammatory bowel diseases (IBD), such as Crohn’s disease (CD) and ulcerative colitis (UC), increasingly occur during childhood and adolescence and are associated with considerable somatic, psychological and social burdens. Despite advances in pharmacotherapy, interest in complementary and nonpharmacological approaches continues to grow. A major obstacle to their evidence-based application in pediatric care is the lack of robust clinical data. Nutritional interventions (exclusive enteral nutrition, EEN, Crohnʼs disease exclusion diet, CDED, plant-based diets), probiotics, selected phytotherapeutic agents and multimodal mind-body medicine concepts integrating mindfulness, physical activity and self-efficacy demonstrate promising potential. Therapeutic goals such as improved quality of life, greater adherence and reduced inflammatory activity must be carefully weighed against the risks of unsupervised self-medication and variable product quality. A structured medically supervised program incorporating nutritional, psychological and complementary medical expertise can, in the best case, sustainably and positively influence the course of the disease.