The role of exclusive enteral nutrition in the pre-operative optimisation of adult patients with Crohn's disease. A systematic review

Gordon–Dixon, Ayeshah; Gore-Rodney, Jessica; Hampal, Rumneek; Ross, Rose; Miah, A; Adegboye, Amanda Rodrigues Amorim; Grimes, Caris

doi:10.1016/j.clnesp.2021.09.723

Cited by 8 publications

(6 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Four systematic reviews have assessed the effect of exclusive enteral nutrition on outcomes in pre‐surgical CD 218–221 . Ten retrospective case–control studies met the inclusion criteria, and one of these was a study reported subsequent to the systematic reviews.…”

Section: Surgerymentioning

confidence: 99%

“…216,217 SURGERY Four systematic reviews have assessed the effect of exclusive enteral nutrition on outcomes in pre-surgical CD. [218][219][220][221] Ten retrospective case-control studies met the inclusion criteria, and one of these was a study reported subsequent to the systematic reviews. Two studies had low risk of bias, 222,223 seven had unclear risk of bias [224][225][226][227][228][229][230] and one had high risk of bias.…”

Section: Probioticsmentioning

confidence: 99%

See 1 more Smart Citation

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Lomer

Wilson

Wall

2022

J Human Nutrition Diet

View full text Add to dashboard Cite

Background: Despite increased awareness of diet and nutrition being integral to the management of patients with inflammatory bowel disease (IBD), there are gaps in the knowledge of IBD healthcare providers regarding nutrition. Furthermore, high quality evidence on nutritional assessment and dietary management of IBD is limited. A Delphi consensus from a panel of experts allows for best-practice guidelines to be developed, especially where high quality evidence is limited. The aim was to develop guidelines for the nutritional assessment and dietary management of IBD using an eDelphi online consensus agreement platform. Methods: Seventeen research topics related to IBD and nutrition were systematically reviewed. Searches in Cochrane, Embase ® , Medline ® and Scopus ® electronic databases were performed. GRADE was used to develop recommendations. Experts from the IBD community (healthcare professionals and patients with IBD) were invited to vote anonymously on the recommendations in a custom-built online platform. Three rounds of voting were carried out with updated iterations of the recommendations and evaluative text based on feedback from the previous round. Results: From 23,824 non-duplicated papers, 167 were critically appraised. Fifty-five participants completed three rounds of voting and 14 GRADE statements and 42 practice statements achieved 80% consensus. Comprehensive guidance related to nutrition assessment, nutrition screening and dietary management is provided. Conclusions: Guidelines on the nutritional assessment and dietary management of IBD have been developed using evidence-based consensus to improve equality of care. The statements and practice statements developed demonstrate the level of agreement and the quality and strength of the guidelines. K E Y W O R D S diet, Crohn's disease, inflammatory bowel disease, nutritional assessment, ulcerative colitis Key points • Comprehensive guidelines related to nutrition assessment, nutrition screening and dietary management of inflammatory bowel disease have been developed.

show abstract

Section: Surgerymentioning

confidence: 99%

Section: Probioticsmentioning

confidence: 99%

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Lomer

Wilson

Wall

2022

J Human Nutrition Diet

View full text Add to dashboard Cite

show abstract

“…Another area of growing interest with EEN is its role in pre-operative optimization in CD. While the current research is retrospective, its implications on outcome may be significant [ 26 ]. While EEN therapy has been shown to induce remission, long-term therapy with EEN has limited utility given the concerns of “formula fatigue”.…”

Section: Exclusive Enteral Nutritionmentioning

confidence: 99%

Current Nutritional Therapies in Inflammatory Bowel Disease: Improving Clinical Remission Rates and Sustainability of Long-Term Dietary Therapies

Reznikov

Suskind

2023

Nutrients

View full text Add to dashboard Cite

Inflammatory Bowel Disease (IBD) includes a spectrum of chronic immune-mediated intestinal diseases thought to be related to the complex interaction between the host immune system and the intestinal microbiome. Research supports the use of nutritional therapy in IBD; however, it is not routinely used in clinical practice. This literature review seeks to advance the understanding of diet and its effect in IBD with a focus on both Crohn’s Disease (CD) and Ulcerative Colitis (UC). The contribution of diet to the development and treatment of IBD cannot be overstated. In both pediatric as well as adult IBD, nutritional interventions have been shown to improve clinical symptoms as well as inflammatory burden. The impact of dietary intervention is best exemplified through the use of Exclusive Enteral Nutrition (EEN) in CD. EEN and clinical research on exclusionary whole food diets—Crohn’s Disease Exclusion Diet (CDED), Specific Carbohydrate Diet (SCD), low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet, and Mediterranean Diet—are discussed within this review. Current clinical literature supports the elimination of detrimental components and the incorporation of low processed whole foods in the diet. Additional prospective and longitudinal dietary studies on sustainable and long-term dietary options, along with a deeper understanding of the mechanism, are needed to further advance the role of nutritional interventions in IBD.

show abstract

“…However, the most recent meta-analysis including seven studies on EEN as preoperative optimization in adult CD, concluded that current data are insufficient to demonstrate significant effects. Four randomized controlled trials are ongoing, and their results may clarify whether EEN improves perioperative outcomes or not (38).…”

Section: Exclusive Enteral Nutrition (Een)mentioning

confidence: 99%

"Out of the box� new therapeutic strategies for Crohn�s disease: moving beyond biologics

2022

View full text Add to dashboard Cite

This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

The role of exclusive enteral nutrition in the pre-operative optimisation of adult patients with Crohn's disease. A systematic review

Cited by 8 publications

References 23 publications

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Current Nutritional Therapies in Inflammatory Bowel Disease: Improving Clinical Remission Rates and Sustainability of Long-Term Dietary Therapies

"Out of the box� new therapeutic strategies for Crohn�s disease: moving beyond biologics

Contact Info

Product

Resources

About