Enteral nutrition decreases hospitalization rate in patients with Crohn's disease

Watanabe, Osamu; Ando, Takafumi; Ishiguro, Kazuhiro; Takahashi, H.; Ishikawa, Daisuke; Miyake, Nobuyuki; Kato, Tsuyoshi; Hibi, Satoshi; Mimura, Shunya; Nakamura, Masanao; Miyahara, Ryoji; Ohmiya, Naoki; Niwa, Yasumasa; Goto, Hidemi

doi:10.1111/j.1440-1746.2010.06296.x

Cited by 15 publications

(9 citation statements)

References 22 publications

(21 reference statements)

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“…The effectiveness of EEN was first described in adult patients with severe disease (6)(7)(8)(9). In view of safety concerns of combination immunosuppressive therapy and because of increasing patient interest in dietary therapy, EEN is now also regaining momentum as a treatment option in adult CD (10)(11)(12)(13)(14)(15)(16).…”

Section: Vers L'alimentation Entérique Pour Le Traitement De La Maladmentioning

confidence: 99%

Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers

Limbergen

Haskett

Griffiths

et al. 2015

Canadian Journal of Gastroenterology and Hepatology

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The treatment armamentarium in pediatric Crohn disease (CD) is very similar to adult-onset CD with the notable exception of the use of exclusive enteral nutrition (EEN [the administration of a liquid formula diet while excluding normal diet]), which is used more frequently by pediatric gastroenterologists to induce remission. In pediatric CD, EEN is now recommended by the pediatric committee of the European Crohn’s and Colitis Organisation and the European Society for Paediatric Gastroenterology Hepatology and Nutrition as a first-choice agent to induce remission, with remission rates in pediatric studies consistently >75%. To chart and address enablers and barriers of use of EEN in Canada, a workshop was held in September 2014 in Toronto (Ontario), inviting pediatric gastroenterologists, nurses and dietitians from most Canadian pediatric IBD centres as well as international faculty from the United States and Europe with particular research and clinical expertise in the dietary management of pediatric CD. Workshop participants ranked the exclusivity of enteral nutrition; the health care resources; and cost implications as the top three barriers to its use. Conversely, key enablers mentioned included: standardization and sharing of protocols for use of enteral nutrition; ensuring sufficient dietetic resources; and reducing the cost of EEN to the family (including advocacy for reimbursement by provincial ministries of health and private insurance companies). Herein, the authors report on the discussions during this workshop and list strategies to enhance the use of EEN as a treatment option in the treatment of pediatric CD in Canada.

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Section: Vers L'alimentation Entérique Pour Le Traitement De La Maladmentioning

confidence: 99%

Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers

Limbergen

Haskett

Griffiths

et al. 2015

Canadian Journal of Gastroenterology and Hepatology

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“…These have dealt with various aspects of management of CD. Watanabe et al [83] demonstrated the utility of enteral nutrition in the management of active CD. They divided their patients into two groups; one group was administered more than 900 kcal/day of elemental formula and the second group was administered less than 900 kcal/day of elemental formula.…”

Section: Een Adultsmentioning

confidence: 99%

Enteral Nutrition in Crohn’s Disease: An Underused Therapy

Kansal

Wagner

Kirkwood

et al. 2013

Gastroenterology Research and Practice

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“…Good HRQOL is one of the ultimate goals 25 . Prior studies have noted that EN had a positive impact on HRQOL in adults who were treated with a half‐elemental diet for maintenance therapy, 10 , 26 and children with active CD who were treated with EEN for 8 weeks had a great improvement in HRQOL 11 …”

Section: Methodsmentioning

confidence: 99%

Effect of Exclusive Enteral Nutrition on Health‐Related Quality of Life for Adults With Active Crohn's Disease

Guo

Zhu

et al. 2013

Nut in Clin Prac

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Enteral nutrition decreases hospitalization rate in patients with Crohn's disease

Abstract: The use of an elemental diet of 900 kcal/day may be effective in avoiding hospitalization in CD patients with ileal lesions. This diet may be useful in improving the long-term convalescence of these patients.

Cited by 15 publications

References 22 publications

Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers

Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers

Enteral Nutrition in Crohn’s Disease: An Underused Therapy

Effect of Exclusive Enteral Nutrition on Health‐Related Quality of Life for Adults With Active Crohn's Disease

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