Enteral nutritional therapy for induction of remission in Crohn's disease

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

“…21,22 Recent calorie intake may be more important than nutritional status. 23 Nutritional therapies alone in pre-operative situation are probably insufficient to treat active CD, 24 but, in association with antibiotherapy (and abscess drainage when appropriate), they seem to improve wound healing with a low rate of faecal diversion. In a prospective population-based study comparing hand-sewn and stapling anastomosis in patients with CD (where 98% of patients underwent ICR), the same preoperative management was reported before intestinal resection.…”

Inflammatory Bowel Disease in Childhood and Adolescence

“…First-line treatment to induce remission in children and adolescents with Crohn's disease, regardless of severity, is exclusive enteral nutrition (EEN) via liquid or tube feeding (11,(30)(31)(32). Exceptions to this are children and adolescents who present risk factors (particularly anal fistulae): for this group, primary treatment is infliximab therapy (11).…”

Exclusive enteral nutrition and induction of remission of active Crohn’s disease in children

“…In contrast, a Cochrane review has concluded that corticosteroids were superior to EEN -however, this mainly included studies of adult subjects treated with EEN [25]. The outcomes and consequences appear to be different in adult patients with CD than in children.…”