Reevaluating therapeutic strategies in Crohn's disease: Comparing Modulen and budesonide.

World J Gastroenterol

Department of Gastroenterology and Hepatology, Staten Island University Hospital, New York, NY 10305, United States.

Published: June 2025


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Article Abstract

This article explores the significant implications of the study by Ovadia , which innovatively compares the efficacy of a nutritional intervention (Modulen) to conventional pharmaceutical therapy (budesonide) in promoting mucosal healing in Crohn's disease. Highlighting the paradox of a well-established yet underutilized nutritional approach, the findings suggest that Modulen may offer comparable therapeutic benefits despite its high withdrawal rate due to adherence challenges. This advancement underscores the evolving paradigm in inflammatory bowel disease treatment, shifting focus toward non-pharmacologic alternatives that target both clinical remission and endoscopic healing. The article advocates for the development of integrative treatment strategies that balance efficacy, patient adherence, and long-term disease management, emphasizing the need for further research to refine and optimize the role of nutritional therapies in clinical practice.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175859PMC
http://dx.doi.org/10.3748/wjg.v31.i22.106636DOI Listing

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