Document Detail

International survey of enteral nutrition protocols used in children with Crohn's disease.
MedLine Citation:
PMID:  22257479     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE:   Differing protocols have been utilized in published studies evaluating exclusive enteral nutrition (EEN) in the management of active pediatric Crohn's disease. This study aimed to ascertain the protocols currently utilized in different pediatric centers around the world and to highlight their similarities and differences.
METHODS:   A questionnaire was circulated to individuals at pediatric centers in countries in Europe, North America and Asia-Pacific. Respondents were asked to indicate the number of children treated with EEN at their centers in the previous years and to provide details of their protocol used for administering EEN to these children.
RESULTS:   Responses were received from 35 separate centers (42% of those asked). The duration of EEN varied from <6 weeks to >12 weeks, but was most commonly 6 to 8 weeks. Although 23 different formulas were utilized across the centers, most (90%) used polymeric formulas. Flavourings were commonly added to formulas but wide variations existed between centers with the prescription of food and fluids permitted during the EEN period. The reintroduction of food after EEN also varied greatly: the most common recommendations were for an initial low-fiber diet (26%) or the gradual introduction of food quantity as the formula volume decreased (52%).
CONCLUSIONS:   This questionnaire-based study has shown the wide variations in EEN protocols used in different areas of the world. The development of consistent protocols may enhance the acceptance, efficacy and wider utilization of this therapy.
Kylie E Whitten; Paula Rogers; Chee Keith Y Ooi; Andrew S Day
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Publication Detail:
Type:  Journal Article; Multicenter Study; Validation Studies    
Journal Detail:
Title:  Journal of digestive diseases     Volume:  13     ISSN:  1751-2980     ISO Abbreviation:  J Dig Dis     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-19     Completed Date:  2012-03-13     Revised Date:  2012-03-22    
Medline Journal Info:
Nlm Unique ID:  101302699     Medline TA:  J Dig Dis     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  107-12     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors. Journal of Digestive Diseases © 2012 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Blackwell Publishing Asia Pty Ltd.
Departments of Nutrition and Dietetics Gastroenterology, Sydney Children's Hospital School of Women's and Children's Health, University of New South Wales, Sydney, Australia.
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MeSH Terms
Child Health Services / methods*,  standards
Crohn Disease / diet therapy*
Enteral Nutrition / methods*
Food Habits
Nutrition Surveys / methods*,  standards*
Pediatrics / methods,  standards
Questionnaires / standards
Reproducibility of Results

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

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