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Title: Enteral nutrition as primary therapy in Crohn's disease
Author: Fernández Bañares, Fernando
Cabré i Gelada, Eduard
González-Huix Lladó, Ferran
Gassull, Miquel Àngel
Keywords: Alimentació enteral
Malaltia de Crohn
Enteral feeding
Crohn's disease
Issue Date: 1994
Publisher: BMJ Group
Abstract: The developments in enteral feeding for Crohn's disease in the past decade are critically reviewed. The advent of amino acid based chemically defined elemental diets signalled the end of 'total bowel rest' in the management of these patients. Subsequently, controlled clinical trials showed that elemental diets were as effective as corticosteroids in inducing clinical remission in patients with acute exacerbations of Crohn's disease. The later use of peptide based elemental diets, in Crohn's disease produced somewhat conflicting results. The initial uncontrolled studies suggest that polymeric whole protein diets might also be effective in the management of acute exacerbations of the disease, casting in turn doubts concerning the role of dietary antigens in the pathogenesis of Crohn's disease. Results of controlled studies comparing the use of elemental and polymeric diets as primary therapy in Crohn's disease have, however, also produced conflicting results. The results of one recent controlled trial in which
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It is part of: Gut, 1994, vol. 35, Suppl. 1, p. S55-S59
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ISSN: 0017-5749
Appears in Collections:Articles publicats en revistes (Medicina)

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