Nutrición enteral en el paciente pediátrico con enfermedad de Crohn

V.M. Navas-López , J. Van Limbergen , J. Martín-de-Carpi
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引用次数: 3

Abstract

The treatment of paediatric Crohn's disease (CD) requires careful attention to optimising normal growth and bone health in addition to achieving mucosal healing. Reducing exposure to systemic corticosteroids can be a highly important first step to influence these medium-to-long-term disease-specific and general health outcomes. An effective alternative to induction therapy with corticosteroids is exclusive enteral nutrition (EEN) which is recommended as first-line therapy in paediatric CD. In this review, we discuss the rationale behind EEN, its putative mechanisms of action and novel, promising modifications to EEN for the future dietary management of paediatric CD.

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小儿克罗恩病患者的肠内营养
治疗儿童克罗恩病(CD)需要仔细注意优化正常生长和骨骼健康,除了实现粘膜愈合。减少全身性皮质类固醇的暴露可能是影响这些中长期疾病特异性和一般健康结果的非常重要的第一步。单独肠内营养(EEN)是替代皮质类固醇诱导治疗的一种有效方法,被推荐作为儿科CD的一线治疗方法。在这篇综述中,我们讨论了肠内营养背后的原理、其可能的作用机制以及未来儿科CD饮食管理中对肠内营养的新的、有希望的修改。
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