IBD Diet: Mediterranean & Whole Foods – AGA Guidance
- He added: "We use diet for induction of remission and also maintenance, and then back again to induction and maintenance again.It's also vital that this is not a...
- For Suskind, one of the most pivotal changes to AGA clinical practice guidance is the emphasis on "eating healthily."
- "The recommendations state that all of our patients, outside of a select few, should be following the Mediterranean diet or a whole-food diet - or simply avoiding a...
January 23, 2026
2 min read
He added: “We use diet for induction of remission and also maintenance, and then back again to induction and maintenance again.It’s also vital that this is not a talk you have with your patients once, and then you’re done with talking about diet: This should be a continual conversation.”
For Suskind, one of the most pivotal changes to AGA clinical practice guidance is the emphasis on “eating healthily.”
“The recommendations state that all of our patients, outside of a select few, should be following the Mediterranean diet or a whole-food diet – or simply avoiding a high-sugar Westernized diet,” he said.
Another significant shift involves how clinicians manage asymptomatic narrowings or strictures. In the past, patients were advised to follow a low-residue diet; however, newer data no longer support this approach.
“What the research is telling us is that fiber is still good,” Suskind said. “It should be soluble fiber, it should be fruits and vegetables that are cooked, peeled, mashed and chewed well.But fiber is not a no-no for narrowings in the GI tract.”
Other notable shifts in guidance for IBD management involves the use of interventional diets, such as exclusive enteral nutrition (EEN) and the Crohn’s disease exclusion diet. The updated recommendations now emphasize that these represent important options for adults, not just pediatric patients.
For Suskind, however, one of the most significant changes is the addition of dietary intervention for active disease, with guidelines endorsing the Crohn’s disease exclusion diet combined with partial enteral nutrition.
“EEN remains the mainstay of nutritional therapy in Crohn’s disease,” Suskind said. “It typically involves 6 to 10 weeks of exclusive formula nutrition, albeit we can adjust that plan to 2 to 4 weeks if that’s what gets us to the next step of therapy. Despite strong evidence and effectiveness, we don’t utilize it enough in our clinical practice.”
He emphasized to young investigators in the audience that “this is a great area to study, because this is the onyl intervention we have that has such [a] powerful impact, but is not necessarily an immune modulator.”
how can clinicians help their patients live healthier lives? Suskind recommends starting with the basic tenets of diet.
“We need to define health
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Gastroenterology: An Overview
Gastroenterology is the branch of medicine focused on the digestive system and its disorders. This includes the esophagus, stomach, small intestine, large intestine (colon), rectum, liver, gallbladder, and pancreas. Learn more about digestive diseases from the National Institute of Diabetes and Digestive Kidney Diseases (NIDDK).
Healio’s Gastroenterology Coverage
Healio provides comprehensive coverage of the latest developments in gastroenterology, including research, clinical trials, and expert opinions. Explore Healio’s gastroenterology section.