Current Use of EEN in Pre-Operative Optimisation in Crohn’s Disease

Shariff, Sharafaath; Moran, Gordon; Grimes, Caris; Cooney, Rachel Margaret

Abstract

Despite the increasing array of medications available for the treatment of Crohn’s disease and a focus on mucosal healing, approximately 35% of patients with Crohn’s disease undergo bowel surgery at some stage. The importance of nutritional optimisation before Crohn’s surgery is well-highlighted by surgical, nutritional, and gastroenterological societies with the aim of reducing complications and enhancing recovery. Surgical procedures are frequently undertaken when other treatment options have been unsuccessful, and, thus, patients may have lost weight and/or required steroids, and are therefore at higher risk of post-operative complications. EEN is used extensively in the paediatric population to induce remission, but is not routinely used in the induction of remission of adult Crohn’s disease or in pre-operative optimisation. Large prospective studies regarding the role of pre-operative EEN are lacking. In this review, we evaluate the current literature on the use of EEN in pre-operative settings and its impact on patient outcomes.

Citation

Shariff, S., Moran, G., Grimes, C., & Cooney, R. M. (2021). Current Use of EEN in Pre-Operative Optimisation in Crohn’s Disease. Nutrients, 13(12), Article 4389. https://doi.org/10.3390/nu13124389

• Journal Article Type: Review
• Acceptance Date: Nov 30, 2021
• Online Publication Date: Dec 8, 2021
• Publication Date: 2021-12
• Deposit Date: Oct 30, 2023
• Publicly Available Date: Nov 16, 2023
• Journal: Nutrients
• Electronic ISSN: 2072-6643
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Issue: 12
• Article Number: 4389
• DOI: https://doi.org/10.3390/nu13124389
• Keywords: Food Science; Nutrition and Dietetics
• Public URL: https://nottingham-repository.worktribe.com/output/7354860
• Publisher URL: https://www.mdpi.com/2072-6643/13/12/4389