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Title:
Enteral nutrition to suppress postoperative Crohn’s disease recurrence: a five-year prospective cohort study | International Journal of Colorectal Disease
Description:
The aim of this study was to investigate the long-term effect of enteral nutrition (EN) as a maintenance therapy in Crohn’s disease (CD) patients following surgery. This study was an extension of our previous study to prolong the duration of intervention and follow-up from 1 to 5 years. Forty consecutive patients who underwent resection for ileal or ileocolic CD were included. Following surgery, 20 patients received continuous elemental diet infusion during the nighttime plus a low-fat diet during the daytime (EN group). Another 20 patients received neither nutritional therapy nor food restriction (control group). All patients were followed for 5 years after operation. No patient received corticosteroid, immunosuppressants, or infliximab except patients who developed recurrence. The end point of this study was recurrence requiring biologic therapy or reoperation. Recurrence rates were analyzed on an intention-to-treat basis. In the EN group, four patients could not continue tube intubation for elemental diet intake. Two patients (10 %) in the EN group and nine patients (45 %) in the control group developed recurrence requiring infliximab therapy (P = 0.03). The cumulative recurrence incidence rate requiring infliximab was significantly lower in the EN group vs the control group (P = 0.02). One patient (5 %) in the EN group and five patients (25 %) in the control group required reoperation for recurrence (P = 0.18). The cumulative incidence of reoperation was lower in the EN group vs the control group, the difference not being significant (P = 0.08). The outcomes of this study suggest that EN therapy reduces the incidence of postoperative CD recurrence.
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disease, article, crohns, enteral, pubmed, google, scholar, nutrition, recurrence, cas, therapy, patients, group, study, yamamoto, nutritional, postoperative, nakahigashi, diet, matsumoto, bowel, privacy, cookies, content, journal, prospective, umegae, surgery, control, infliximab, remission, dis, gastroenterol, publish, search, colorectal, maintenance, elemental, reoperation, access, inflammatory, treatment, griffiths, gastroenterology, data, information, log, research, september, takayuki,
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satoru umegae & koichi matsumoto month download article/chapter inflammatory bowel disease—epidemiology long-term enteral nutrition inflammatory bowel disease article international journal full article pdf privacy choices/manage cookies related subjects review article parenteral nutrition therapy long-term effect enteral nutritional therapy elemental diet intake �half elemental diet article yamamoto factors affecting recurrence post-operative recurrence continue tube intubation protein-energy intake intra-operative enteroscopy low-fat diet colorectal disease aims en therapy reduces conditions privacy policy patient received corticosteroid oral nutritional supplementation disease activity index european economic area journal finder publish accepting optional cookies prospective clinical trial endoscopic disease activities author information authors developed recurrence forty consecutive patients national cooperative crohn takayuki yamamoto randomized-controlled trial postoperative cd recurrence article log enteral nutrition cumulative incidence suppress postoperative crohn check access bowel resection instant access article cite elemental diet maintenance infliximab
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headline:Enteral nutrition to suppress postoperative Crohn’s disease recurrence: a five-year prospective cohort study
description:The aim of this study was to investigate the long-term effect of enteral nutrition (EN) as a maintenance therapy in Crohn’s disease (CD) patients following surgery. This study was an extension of our previous study to prolong the duration of intervention and follow-up from 1 to 5 years. Forty consecutive patients who underwent resection for ileal or ileocolic CD were included. Following surgery, 20 patients received continuous elemental diet infusion during the nighttime plus a low-fat diet during the daytime (EN group). Another 20 patients received neither nutritional therapy nor food restriction (control group). All patients were followed for 5 years after operation. No patient received corticosteroid, immunosuppressants, or infliximab except patients who developed recurrence. The end point of this study was recurrence requiring biologic therapy or reoperation. Recurrence rates were analyzed on an intention-to-treat basis. In the EN group, four patients could not continue tube intubation for elemental diet intake. Two patients (10 %) in the EN group and nine patients (45 %) in the control group developed recurrence requiring infliximab therapy (P = 0.03). The cumulative recurrence incidence rate requiring infliximab was significantly lower in the EN group vs the control group (P = 0.02). One patient (5 %) in the EN group and five patients (25 %) in the control group required reoperation for recurrence (P = 0.18). The cumulative incidence of reoperation was lower in the EN group vs the control group, the difference not being significant (P = 0.08). The outcomes of this study suggest that EN therapy reduces the incidence of postoperative CD recurrence.
datePublished:2012-09-27T00:00:00Z
dateModified:2012-09-27T00:00:00Z
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Crohn’s disease
Enteral nutrition
Infliximab
Recurrence
Reoperation
Surgery
Internal Medicine
Gastroenterology
Hepatology
Proctology
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headline:Enteral nutrition to suppress postoperative Crohn’s disease recurrence: a five-year prospective cohort study
description:The aim of this study was to investigate the long-term effect of enteral nutrition (EN) as a maintenance therapy in Crohn’s disease (CD) patients following surgery. This study was an extension of our previous study to prolong the duration of intervention and follow-up from 1 to 5 years. Forty consecutive patients who underwent resection for ileal or ileocolic CD were included. Following surgery, 20 patients received continuous elemental diet infusion during the nighttime plus a low-fat diet during the daytime (EN group). Another 20 patients received neither nutritional therapy nor food restriction (control group). All patients were followed for 5 years after operation. No patient received corticosteroid, immunosuppressants, or infliximab except patients who developed recurrence. The end point of this study was recurrence requiring biologic therapy or reoperation. Recurrence rates were analyzed on an intention-to-treat basis. In the EN group, four patients could not continue tube intubation for elemental diet intake. Two patients (10 %) in the EN group and nine patients (45 %) in the control group developed recurrence requiring infliximab therapy (P = 0.03). The cumulative recurrence incidence rate requiring infliximab was significantly lower in the EN group vs the control group (P = 0.02). One patient (5 %) in the EN group and five patients (25 %) in the control group required reoperation for recurrence (P = 0.18). The cumulative incidence of reoperation was lower in the EN group vs the control group, the difference not being significant (P = 0.08). The outcomes of this study suggest that EN therapy reduces the incidence of postoperative CD recurrence.
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Enteral nutrition
Infliximab
Recurrence
Reoperation
Surgery
Internal Medicine
Gastroenterology
Hepatology
Proctology
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