Talya Miller1, David L Suskind. 1. Division of Gastroenterology, Department of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, Washington, USA.
Abstract
PURPOSE OF REVIEW: Nutritional interventions play a central role in the treatment and management of inflammatory bowel disease (IBD) in children. Although malnutrition is a common presenting sign of IBD, nutritional interventions have focused not only on correction of the malnourished state but also on treatment of the primary disease. RECENT FINDINGS: Exclusive enteral nutrition (EEN) has been the primary therapy utilized in pediatric IBD specifically, Crohn's disease. This intervention provides total calories from formula meeting complete macronutrient and micronutrient needs for a patient. EEN has been shown to improve growth and correct micronutrient deficiencies as well as improve comorbid conditions like osteopenia and anemia. EEN has also been shown to be equally as efficacious as steroids in inducing remission with better mucosal healing. SUMMARY: EEN is a primary therapy in IBD. Both the North American and European Societies of Pediatric Gastroenterology, Hepatology and Nutrition consider EEN as first line therapy for inducing remission in Crohn's disease.
PURPOSE OF REVIEW: Nutritional interventions play a central role in the treatment and management of inflammatory bowel disease (IBD) in children. Although malnutrition is a common presenting sign of IBD, nutritional interventions have focused not only on correction of the malnourished state but also on treatment of the primary disease. RECENT FINDINGS: Exclusive enteral nutrition (EEN) has been the primary therapy utilized in pediatric IBD specifically, Crohn's disease. This intervention provides total calories from formula meeting complete macronutrient and micronutrient needs for a patient. EEN has been shown to improve growth and correct micronutrient deficiencies as well as improve comorbid conditions like osteopenia and anemia. EEN has also been shown to be equally as efficacious as steroids in inducing remission with better mucosal healing. SUMMARY:EEN is a primary therapy in IBD. Both the North American and European Societies of Pediatric Gastroenterology, Hepatology and Nutrition consider EEN as first line therapy for inducing remission in Crohn's disease.
Authors: Lorenzo Bertani; Davide Giuseppe Ribaldone; Massimo Bellini; Maria Gloria Mumolo; Francesco Costa Journal: Nutrients Date: 2021-04-20 Impact factor: 5.717
Authors: Maria M E Jongsma; Stephanie A Vuijk; Martinus A Cozijnsen; Merel van Pieterson; Obbe F Norbruis; Michael Groeneweg; Victorien M Wolters; Herbert M van Wering; Iva Hojsak; Kaija-Leena Kolho; Michiel P van Wijk; Sarah T A Teklenburg-Roord; Tim G J de Meij; Johanna C Escher; Lissy de Ridder Journal: Eur J Pediatr Date: 2022-06-08 Impact factor: 3.860