Prehabilitation: The Impact of Preoperative Exclusive Enteral Nutrition on Paediatric Patients With Crohn Disease

被引：6

作者：

Harris, Rachel E. ^{[1
]}

Duncan, Hazel ^{[1
]}

Buchanan, Elaine ^{[1
]}

Cardigan, Tracey ^{[1
]}

Garrick, Vikki ^{[1
]}

Curtis, Lee ^{[1
]}

Gervais, Lisa ^{[1
]}

Barclay, Andrew ^{[1
]}

Haddock, Graham ^{[2
]}

Hansen, Richard ^{[1
]}

Tayler, Rachel ^{[1
]}

Walker, Gregor ^{[2
]}

Russell, Richard K. ^{[1
]}

机构：

[1] Royal Hosp Children, Dept Paediat Gastroenterol Hepatol & Nutr, 1345 Govan Rd, Glasgow G51 4TF, Lanark, Scotland

[2] Royal Hosp Children, Dept Paediat Surg, Glasgow, Lanark, Scotland

来源：

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION | 2020年 / 70卷 / 04期

关键词：

Crohn disease; exclusive enteral nutrition; inflammatory bowel disease; resectional surgery; right hemicolectomy; INFLAMMATORY-BOWEL-DISEASE; POSTOPERATIVE COMPLICATIONS; TERM COMPLICATIONS; RESECTION; OUTCOMES; CHILDREN; SURGERY; ADULTS; DIET;

D O I：

10.1097/MPG.0000000000002595

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Exclusive enteral nutrition (EEN) is effective in inducing remission in paediatric Crohn Disease (CD) and has been shown to reduce inflammation and improve outcomes in adult CD patients when used before resectional surgery. This retrospective study demonstrates that preoperative EEN is achievable in paediatric CD patients undergoing right hemicolectomy and is associated with positive peri-operative outcomes. Seventeen patients (8 who received preoperative EEN and 9 who did not) were included in the study. Six of 8 (75.0%) managed EEN orally; 1 via nasogastric tube and another via a previously sited gastrostomy. Use of preoperative EEN was associated with a decreased rate of moderate/severe disease on resection pathology (5/8 [62.5%] vs 9/9 [100%]; P=0.04). Larger studies are required to determine the wider potential benefits of preoperative EEN on postoperative outcomes within paediatric practice.

引用

页码：503 / 507

页数：5

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