Abstract:
BACKGROUND/OBJECTIVES:Exclusive enteral nutrition (EEN) is a safe and effective treatment modality for inducing remission in paediatric Crohn's disease (CD). The primary aim of this study was to compare the outcomes of EEN to corticosteroid (CS) therapy in newly diagnosed, treatment-naïve patients with CD. A secondary aim was to describe the outcomes of EEN in a national cohort of paediatric CD patients over a 10-year period. SUBJECTS/METHODS:A retrospective chart review was conducted at the Irish national referral centre for paediatric CD. A case-matched analysis was conducted on two cohorts matched for age, gender, disease location, disease behaviour and disease activity, who received CS or EEN as their initial treatment. Subsequently, cohort analysis was conducted on all patients who undertook a course of EEN therapy between 2004 and 2013. RESULTS:The case-matched analysis found higher remission rates after treatment with EEN (24/28, 86%) compared with those with CS (15/28, 54%; P=0.02). Dietetic contacts were found to be pivotal to the success of treatment and the attainment of remission. In total, 59 patients completed EEN at some time-point in their disease course and were included in the cohort analysis. Sixty-nine per cent of this cohort entered clinical remission (41/59). EEN was found to be most effective when used as an initial treatment (P=0.004) and less effective in patients aged under 10 years (P=0.04). CONCLUSIONS:EEN should be strongly considered as a favourable primary treatment over CS, especially in those diagnosed over the age of 10 years.
journal_name
Eur J Clin Nutrjournal_title
European journal of clinical nutritionauthors
Lafferty L,Tuohy M,Carey A,Sugrue S,Hurley M,Hussey Sdoi
10.1038/ejcn.2016.210subject
Has Abstractpub_date
2017-02-01 00:00:00pages
185-191issue
2eissn
0954-3007issn
1476-5640pii
ejcn2016210journal_volume
71pub_type
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journal_title:European journal of clinical nutrition
pub_type: 杂志文章
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journal_title:European journal of clinical nutrition
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journal_title:European journal of clinical nutrition
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journal_title:European journal of clinical nutrition
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journal_title:European journal of clinical nutrition
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pub_type: 杂志文章,meta分析,评审
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更新日期:2014-07-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2013-04-01 00:00:00
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更新日期:2003-10-01 00:00:00
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journal_title:European journal of clinical nutrition
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doi:
更新日期:1988-08-01 00:00:00
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更新日期:2020-09-16 00:00:00
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journal_title:European journal of clinical nutrition
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更新日期:2010-06-01 00:00:00
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doi:
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2020-03-01 00:00:00
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更新日期:2003-09-01 00:00:00
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