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Related Experiment Videos

ESPEN Guidelines on Enteral Nutrition: Gastroenterology.

H Lochs1, C Dejong, F Hammarqvist

  • 1Department of Gastroenterology, Charité-Universitätsmedizin, CCM, Berlin, Germany. herbert.lochs@charite.de

Clinical Nutrition (Edinburgh, Scotland)
|May 16, 2006
PubMed
Summary

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Enteral nutrition (EN), including oral nutritional supplements (ONS) and tube feeding (TF), is recommended for undernourished patients with Crohn

Area of Science:

  • Gastroenterology and Clinical Nutrition
  • Inflammatory Bowel Disease (IBD) Management
  • Nutritional Support Strategies

Background:

  • Patients with Crohn's disease (CD), ulcerative colitis (UC), and short bowel syndrome (SBS) frequently experience undernutrition and specific nutrient deficiencies.
  • Existing guidelines lack comprehensive, evidence-based recommendations for enteral nutrition (EN) in these patient populations.

Framework:

  • Developed through an interdisciplinary consensus process, adhering to official standards.
  • Based on a thorough review of relevant publications from 1985 to the present.
  • Provides evidence-based recommendations for the indication, application, and formula type of EN (oral nutritional supplements [ONS] or tube feeding [TF]).

Implementation:

  • For undernourished patients with CD or UC, ONS and/or TF are indicated as adjuncts to improve nutritional status.

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  • In active CD, EN is the primary therapy for children and the sole therapy for adults when corticosteroids are not feasible.
  • For SBS, TF is recommended during the adaptation phase, transitioning to ONS as adaptation progresses.

    • Implications:

    • Highlights the crucial role of EN in managing nutritional deficits in CD, UC, and SBS.
    • Suggests no significant differences in efficacy among various EN formula types (free amino acid, peptide-based, whole protein) for TF.
    • Recommends ONS for steroid-dependent CD patients in remission and emphasizes a phased EN approach for SBS patients.