Cargando…

Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease

BACKGROUND AND AIM: Exclusive enteral nutrition (EEN) is progressively being used as a therapeutic option for adults with Crohn's Disease (CD); however, there is no standardized approach to delivering this therapy. The aim of this study is to develop an optimal care pathway for using EEN in adu...

Descripción completa

Detalles Bibliográficos
Autores principales: Day, Alice, Wood, Jessica, Melton, Sarah, Bryant, Robert V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144766/
https://www.ncbi.nlm.nih.gov/pubmed/32280775
http://dx.doi.org/10.1002/jgh3.12256
_version_ 1783519881977659392
author Day, Alice
Wood, Jessica
Melton, Sarah
Bryant, Robert V
author_facet Day, Alice
Wood, Jessica
Melton, Sarah
Bryant, Robert V
author_sort Day, Alice
collection PubMed
description BACKGROUND AND AIM: Exclusive enteral nutrition (EEN) is progressively being used as a therapeutic option for adults with Crohn's Disease (CD); however, there is no standardized approach to delivering this therapy. The aim of this study is to develop an optimal care pathway for using EEN in adults with CD. This will create a standard of care that can be used as a benchmark practice and will provide direction for future research. METHODS: A working group of 12 multidisciplinary inflammatory bowel disease specialists across Australia and New Zealand was convened to develop a practical, clinically focused care pathway for using EEN in adults with active CD. Six key areas were identified as part of the care pathway: clinical indications, nutrition assessment, EEN protocol, monitoring, accessing formula, and food reintroduction. Current literature was identified via systematic review, and quality of evidence was graded. Consensus expert opinion was used where literature gaps were identified. RESULTS: An optimal care pathway for using EEN in adults with CD was developed with six key consensus statements on how to use EEN in adults with active CD. These key statements identify clinical indications for use, nutrition assessment, enteral prescription and duration of therapy, monitoring criteria, food reintroduction, and the role of partial EEN. An accompanying patient resource was also developed. CONCLUSION: EEN is recommended as a treatment option to induce remission in adults with active CD. The consensus statements developed are practical and are based on best available evidence and expert opinion to assist in developing a standardized approach to delivering EEN therapy.
format Online
Article
Text
id pubmed-7144766
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Wiley Publishing Asia Pty Ltd
record_format MEDLINE/PubMed
spelling pubmed-71447662020-04-10 Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease Day, Alice Wood, Jessica Melton, Sarah Bryant, Robert V JGH Open Original Articles BACKGROUND AND AIM: Exclusive enteral nutrition (EEN) is progressively being used as a therapeutic option for adults with Crohn's Disease (CD); however, there is no standardized approach to delivering this therapy. The aim of this study is to develop an optimal care pathway for using EEN in adults with CD. This will create a standard of care that can be used as a benchmark practice and will provide direction for future research. METHODS: A working group of 12 multidisciplinary inflammatory bowel disease specialists across Australia and New Zealand was convened to develop a practical, clinically focused care pathway for using EEN in adults with active CD. Six key areas were identified as part of the care pathway: clinical indications, nutrition assessment, EEN protocol, monitoring, accessing formula, and food reintroduction. Current literature was identified via systematic review, and quality of evidence was graded. Consensus expert opinion was used where literature gaps were identified. RESULTS: An optimal care pathway for using EEN in adults with CD was developed with six key consensus statements on how to use EEN in adults with active CD. These key statements identify clinical indications for use, nutrition assessment, enteral prescription and duration of therapy, monitoring criteria, food reintroduction, and the role of partial EEN. An accompanying patient resource was also developed. CONCLUSION: EEN is recommended as a treatment option to induce remission in adults with active CD. The consensus statements developed are practical and are based on best available evidence and expert opinion to assist in developing a standardized approach to delivering EEN therapy. Wiley Publishing Asia Pty Ltd 2019-09-10 /pmc/articles/PMC7144766/ /pubmed/32280775 http://dx.doi.org/10.1002/jgh3.12256 Text en © 2019 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Day, Alice
Wood, Jessica
Melton, Sarah
Bryant, Robert V
Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease
title Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease
title_full Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease
title_fullStr Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease
title_full_unstemmed Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease
title_short Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease
title_sort exclusive enteral nutrition: an optimal care pathway for use in adult patients with active crohn's disease
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144766/
https://www.ncbi.nlm.nih.gov/pubmed/32280775
http://dx.doi.org/10.1002/jgh3.12256
work_keys_str_mv AT dayalice exclusiveenteralnutritionanoptimalcarepathwayforuseinadultpatientswithactivecrohnsdisease
AT woodjessica exclusiveenteralnutritionanoptimalcarepathwayforuseinadultpatientswithactivecrohnsdisease
AT meltonsarah exclusiveenteralnutritionanoptimalcarepathwayforuseinadultpatientswithactivecrohnsdisease
AT bryantrobertv exclusiveenteralnutritionanoptimalcarepathwayforuseinadultpatientswithactivecrohnsdisease