Exclusive enteral nutrition in pediatric inflammatory bowel disease

Current Opinion in Pediatrics
Talya Miller, David L Suskind

Abstract

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. 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. 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.

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Citations

Jan 4, 2020·Journal of Pediatric Gastroenterology and Nutrition·Sara SilaSanja Kolaček
Aug 17, 2020·European Journal of Gastroenterology & Hepatology·Anshu SrivastavaSurender Kumar Yachha
May 1, 2021·Nutrients·Lorenzo BertaniFrancesco Costa
Jun 7, 2021·Journal of Pediatric Gastroenterology and Nutrition·Francesca PenaginiGian Vincenzo Zuccotti
Jan 15, 2020·Visceral Medicine·Wolfgang ReindlPeter Kienle

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