Polymeric nutrition as the primary therapy in children with small bowel Crohn's disease.

作者: R. M. BEATTIE , E. J. SCHIFFRIN , A DONNET-HUGHES , A. C. HUGGETT , P. DOMIZIO

DOI: 10.1111/J.1365-2036.1994.TB00338.X

关键词: Complete proteinCrohn's diseaseEnteral administrationGastroenterologyIleumWeight gainMedicineInternal medicineParenteral nutritionDiseaseC-reactive protein

摘要: SUMMARY Background: Recent studies in adults have shown that polymeric (whole protein) diets are as effective semi-elemental and elemental formulae for the induction of remission small bowel Crohn's disease. Whole protein more palatable cheaper. There been no confirming efficacy children. Patients Methods: We report our experience with seven children active disease given a casein-based, feed rich TGF-SbT2 (Specific Polymeric Diet; Nestl–Clintec; Vevey, Switzerland) complete nutrition 8 weeks. Results: Initial follow-up assessments were performed. All showed significant improvement activity, C-reactive returning to normal, an increase serum albumin good weight gain. ileal biopsies assessed reduced mucosal inflammation six children, healing two. Conclusion: In uncontrolled descriptive study we diet is therapeutic option children. By comprehensive demonstrated clinical biochemical remission, improved endoscopic appearance reduction terminal ileum.

参考文章(22)
C. A. Campbell, J. T. Harries, J. R. Douglas, C. B. Williams, N. J. Laage, I. W. Booth, J. A. Walker-Smith, Total colonoscopy in children. Archives of Disease in Childhood. ,vol. 57, pp. 49- 53 ,(1982)
Barbara S. Kirschner, Janet R. Klich, Sophia S. Kalman, Martha V. deFavaro, Irwin H. Rosenberg, Reversal of growth retardation in Crohn's disease with therapy emphasizing oral nutritional restitution. Gastroenterology. ,vol. 80, pp. 10- 15 ,(1981) , 10.1016/0016-5085(81)90183-9
R.J. Playford, A.C. Woodman, D. Vesey, P.H. Deprez, J. Calam, P. Watanapa, R.C.N. Williamson, P. Clark, Effect of luminal growth factor preservation on intestinal growth The Lancet. ,vol. 341, pp. 843- 848 ,(1993) , 10.1016/0140-6736(93)93057-8
D A Gorard, J B Hunt, J J Payne-James, K R Palmer, R G Rees, M L Clark, M J Farthing, J J Misiewicz, D B Silk, Initial response and subsequent course of Crohn's disease treated with elemental diet or prednisolone. Gut. ,vol. 34, pp. 1198- 1202 ,(1993) , 10.1136/GUT.34.9.1198
John D. Lloyd-Still, Orville C. Green, A clinical scoring system for chronic inflammatory bowel disease in children Digestive Diseases and Sciences. ,vol. 24, pp. 620- 624 ,(1979) , 10.1007/BF01333706
S K Chong, A J Blackshaw, S Boyle, C B Williams, J A Walker-Smith, Histological diagnosis of chronic inflammatory bowel disease in childhood. Gut. ,vol. 26, pp. 55- 59 ,(1985) , 10.1136/GUT.26.1.55
Christopher B. Williams, Stuart Nicholls, Endoscopic features of chronic inflammatory bowel disease in childhood Baillière's Clinical Gastroenterology. ,vol. 8, pp. 121- 131 ,(1994) , 10.1016/S0950-3528(06)80022-9
D P O'Donoghue, A M Dawson, Crohn's disease in childhood. Archives of Disease in Childhood. ,vol. 52, pp. 627- 632 ,(1977) , 10.1136/ADC.52.8.627