Exclusive enteral nutrition – first-line therapy of Crohn’s disease in children
Eva Karásková1
+ Affiliation
Summary
Inflammatory bowel diseases include Crohn‘s disease and ulcerative colitis. Up to 20% of patients with Crohn’s disease are diagnosed before the age of 18 years. The onset of the disease in childhood is often accompanied by growth retardation and impaired bone metabolism. The therapeutic approach differs in certain aspects from the treatment of adult patients. Particularly, exclusive enteral nutrition is recommended as first-line therapy to induce remission in children with newly diagnosed Crohn’s disease. Over recent years this therapy has often replaced corticosteroids. According to available studies, this treatment induces endoscopic remission better than corticosteroids, while improving bone metabolism, growth and nutritional status. Exclusive enteral nutrition is generally well tolerated and with proper administration its complications and side effects are minimal.
Keywords
Crohn’s disease, child, enteral nutritionTo read this article in full, please register for free on this website.
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Literature
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