1134: Pre-Operative Oral Enteral Nutritional Optimisation for Crohn's Disease: A Retrospective Uk Tertiary Ibd Centre Cohort Study

Meade, Susanna; Segal, Jonathan; Luber, Raphael P.; O'Hanlon, Dearbhaile; Caracostea, Andra; Pavlidis, Polychronis; Honap, Sailish; Anandarajah, C; Griffin, Nyree; Zeki, Sebastian; Ray, Shuvra; Mawdsley, Joel; Anderson, Simon; Samaan, Mark A; Darakhshan, Amir; Adams, Katie; Williams, Andrew B.; Sanderson, Jeremy; Lomer, Miranda; Irving, Peter M.

doi:10.1016/s0016-5085(22)60628-0

Cited by 2 publications

(6 citation statements)

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“…Between 2 and 8 weeks (mean 6 weeks) of pre-surgical exclusive enteral nutrition was associated with a mean of 2.0 days of reduction in the length of hospital stay. 222,228,232 One study reported that mean length of post-surgical hospitalisation for high risk surgical patients (n = 35) was 7.5 (2.2) days after 3 weeks of pre-surgical exclusive enteral nutrition, which is similar to the length of stay (8.3 [6.2] days) (p = 0.222) of low-risk surgical patients who did not receive pre-surgical nutrition (n = 21). 231 STATEMENT: Pre-surgical exclusive enteral nutrition may lower the risk of post-surgical infectious complications in patients with Crohn's disease.…”

Section: Probioticsmentioning

confidence: 83%

“…Three studies reported mean length of post‐surgical hospitalisation was 7.9 days in 288 patients who received pre‐operative exclusive enteral nutrition compared to 9.9 days in 200 patients who received no nutrition intervention. Between 2 and 8 weeks (mean 6 weeks) of pre‐surgical exclusive enteral nutrition was associated with a mean of 2.0 days of reduction in the length of hospital stay 222,228,232 …”

Section: Surgerymentioning

confidence: 99%

“…Nine studies reported the rate of post-surgical infectious complications in patients receiving pre-surgical exclusive enteral nutrition for 2-12 weeks (mean 6 weeks) was 93 of 720 (13%) compared to a rate of 158 of 551 (29%) in patients with no nutrition intervention. [222][223][224][225][226]228,[230][231][232] Eight studies reported a significantly lower rate of postsurgical infectious complication in patients provided with exclusive enteral nutrition. [222][223][224][225][226]228,230,232 One study did not report a significant difference because it compared high risk patients with exclusive enteral nutrition to lowrisk patients without exclusive enteral nutrition.…”

Section: Probioticsmentioning

confidence: 99%

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British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Lomer

Wilson

Wall

2022

J Human Nutrition Diet

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Background: Despite increased awareness of diet and nutrition being integral to the management of patients with inflammatory bowel disease (IBD), there are gaps in the knowledge of IBD healthcare providers regarding nutrition. Furthermore, high quality evidence on nutritional assessment and dietary management of IBD is limited. A Delphi consensus from a panel of experts allows for best-practice guidelines to be developed, especially where high quality evidence is limited. The aim was to develop guidelines for the nutritional assessment and dietary management of IBD using an eDelphi online consensus agreement platform. Methods: Seventeen research topics related to IBD and nutrition were systematically reviewed. Searches in Cochrane, Embase ® , Medline ® and Scopus ® electronic databases were performed. GRADE was used to develop recommendations. Experts from the IBD community (healthcare professionals and patients with IBD) were invited to vote anonymously on the recommendations in a custom-built online platform. Three rounds of voting were carried out with updated iterations of the recommendations and evaluative text based on feedback from the previous round. Results: From 23,824 non-duplicated papers, 167 were critically appraised. Fifty-five participants completed three rounds of voting and 14 GRADE statements and 42 practice statements achieved 80% consensus. Comprehensive guidance related to nutrition assessment, nutrition screening and dietary management is provided. Conclusions: Guidelines on the nutritional assessment and dietary management of IBD have been developed using evidence-based consensus to improve equality of care. The statements and practice statements developed demonstrate the level of agreement and the quality and strength of the guidelines. K E Y W O R D S diet, Crohn's disease, inflammatory bowel disease, nutritional assessment, ulcerative colitis Key points • Comprehensive guidelines related to nutrition assessment, nutrition screening and dietary management of inflammatory bowel disease have been developed.

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Section: Probioticsmentioning

confidence: 83%

Section: Surgerymentioning

confidence: 99%

Section: Probioticsmentioning

confidence: 99%

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British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Lomer

Wilson

Wall

2022

J Human Nutrition Diet

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“…Meade et al 6 . demonstrated the tolerability and effectiveness of pre‐operative oral enteral nutrition (EN) optimization in patients with CD undergoing ileal/ileocolonic resection.…”

mentioning

confidence: 99%

“…Meade et al 6 demonstrated the tolerability and effectiveness of pre-operative oral enteral nutrition (EN) optimization in patients with CD undergoing ileal/ileocolonic resection. In a multivariate analysis, 204 patients who had nutritional optimization with EN had significantly fewer overall complications (OR 0.29, p < 0.001) and post-operative infections (p < 0.01) as well as reduced disease activity (as measured by C-reactive protein, p < 0.001) than 96 patients who were not nutritionally optimised.…”

mentioning

confidence: 99%

Editorial: a formula shake each day keeps the complications away – the tolerability and effect of orally‐delivered enteral nutrition in improving post‐operative outcomes in patients with Crohn's disease

Gold

Raman

2022

Aliment Pharmacol Ther

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a formula shake each day keeps the complications away -the tolerability and effect of orally-delivered enteral nutrition in improving post-operative outcomes in patients with Crohn's disease Crohn's disease (CD) is a chronic, relapsing inflammatory disease that is associated with an increased risk of malnutrition due to malabsorption, increased losses, medication effects and reduced oral intake. Malnutrition is estimated to affect 20%-80% of patients with IBD and is especially prevalent in hospitalised patients. 1 Within 3 years of diagnosis, 25%-45% of patients with CD will require surgery. Poor perioperative nutritional status has been associated with increased post-operative complications. [2][3][4] Across medical disciplines, pre-operative malnutrition has been associated with prolonged hospitalisation and increased morbidity and mortality. However, unlike other risk factors for post-operative

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1134: Pre-Operative Oral Enteral Nutritional Optimisation for Crohn's Disease: A Retrospective Uk Tertiary Ibd Centre Cohort Study

Cited by 2 publications

References 0 publications

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Editorial: a formula shake each day keeps the complications away – the tolerability and effect of orally‐delivered enteral nutrition in improving post‐operative outcomes in patients with Crohn's disease

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