Prehabilitation: The Impact of Preoperative Exclusive Enteral Nutrition on Paediatric Patients With Crohn Disease
| Autor: | Lisa Gervais, Richard K. Russell, Rachel E. Harris, Andrew R. Barclay, Lee Curtis, Elaine Buchanan, Rachel Tayler, Gregor Walker, Richard Hansen, Graham Haddock, Hazel Duncan, Tracey Cardigan, Vikki Garrick |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Prehabilitation medicine.medical_treatment Severe disease 03 medical and health sciences 0302 clinical medicine Enteral Nutrition Crohn Disease 030225 pediatrics medicine Humans Child Paediatric patients Retrospective Studies business.industry Crohn disease Remission Induction Gastroenterology Preoperative Exercise Retrospective cohort study Gastrostomy Surgery Parenteral nutrition Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology business Right hemicolectomy |
| Zdroj: | Journal of pediatric gastroenterology and nutrition. 70(4) |
| ISSN: | 1536-4801 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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