Document Detail


Efficacy of nutritional therapy for perforating and non-perforating Crohn's disease.
MedLine Citation:
PMID:  15239244     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: Enteral nutrition is the currently established primary therapy for Crohn's disease in Japan. We examined the effects of postoperative nutritional therapy in patients with perforating type and non-perforating type Crohn's disease. METHODOLOGY: We retrospectively reviewed the records for 218 patients who underwent surgical interventions for Crohn's disease in our hospital between January 1, 1974 and September 30, 2001. They were divided into four groups: 92 patients in the non-perforating type (NP type) + Elemental Diet (ED) group had received ED therapy and nutritional education, 22 patients in the NP type + NoED group had not received ED therapy or nutritional education, 88 patients in the perforating type (P type) + ED group and 16 patients in P type + NoED group. We evaluated the incidence of reoperation rate for each group. RESULTS: Patients with a postoperative ED therapy demonstrated a significant decrease in the incidence of second resection. The incidence of second resection in the NP type + ED group was significantly lower than that of the other groups. The NP type + NoED group and the P type + ED group followed similar courses. CONCLUSIONS: In patients with Crohn's disease postoperative ED therapy and nutritional education is effective in reducing the incidence of second resection. It appears that postoperative ED therapy and nutritional education is more important in patients with P type Crohn's disease.
Authors:
Hiroki Ikeuchi; Takehira Yamamura; Hiroki Nakano; Tadashi Kosaka; Takashi Shimoyama; Yoshihiro Fukuda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  51     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-07-08     Completed Date:  2004-09-21     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1050-2     Citation Subset:  IM    
Affiliation:
Department of Surgery 2, Hyogo College of Medicine, Japan. ikeuci2s@hyo-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Crohn Disease / complications,  diet therapy*,  surgery*
Female
Food, Formulated*
Humans
Intestinal Perforation / etiology*
Male
Middle Aged
Nutritional Sciences / education*
Patient Education as Topic*
Postoperative Care*
Retrospective Studies
Surgical Procedures, Minimally Invasive*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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