Can a liquid diet treat crohn better than child steroids?
A child diagnosed with inflammatory bowel disease (IBD), like crohn’s disease, may be terrible. Although there is no cure, it can be treated. It’s just a question of what’s right for your child.
According to crohn’s disease and colitis foundation, more than 1.6 million people live in IBD in the United States, and one in every 10 patients under 18 years of age.
The treatment options for crohn’s children vary from person to person, depending on their needs.
Considering various factors, including the disease location, disease, disease severity, growth and puberty state and nutritional status, the provider to tailor treatment according to the actual circumstances of the individual patient, “research director, Neera Dr Gupta New York weill Cornell medical college and New York Presbyterian hospital pediatric inflammatory bowel disease center.
Routine treatment may include corticosteroids, immunomodulators and biological agents. Some people may prescribe antibiotics. Others may need surgery.
Another option to get more attention in the medical community is to have exclusive enteral nutrition (EEN). This involves a certain amount of time in a fully liquid diet. The ultimate goal is disease relief.
, “explained Dr GUPTA EEN provides patients with all its calories and nutritional needs, such as carbohydrates, fats, protein, vitamins and minerals, and added that the patient’s energy demand and liquid was used to determine the formula consume every day.
EEN at home, it can be administered through the mouth or through the nasogastric tube, which carries food and medicine to the stomach through the nose. Treatment usually lasts from 6 to 12 weeks, but usually 8 weeks.
Gupta says more research is needed to determine if repeated EEN can effectively treat subsequent flares.
A published in the journal, in August 2017 to review the digestive system of pharmacology and treatment by Allen Swaminath, MD, gastrointestinal diseases in Lenox Hill hospital in New York City architect chicken infectious bursal disease project director, looked at EEN curative effect with crohn’s disease in children.
“This is a clinically important question,” he said. “my patients always ask me: what is the right diet? “If you have a Google diet and IBD, you get millions of links, which means there’s no right answer.
In order to report, Dr Swaminath and his team reviewed all available EEN treatment scientific studies and their impact on crohn’s disease to determine whether an ideal diet was available.
They found that EEN was as effective as alleviating corticosteroids in children with crohn’s disease.
Experts say this is important because corticosteroids can have many negative effects on children, including negative effects on growth and bone health, as well as increased infections.
Zheen went to the United States to treat crohn’s.
According to the journal of pediatric gastroenterology and nutrition “, “a study published in North America, only 4% of pediatric gastroenterology doctors use this treatment, only 62% of pediatric gastroenterology physician and Western Europe. Later in the “journal of pediatric gastroenterology and nutrition”, according to a study published in the EEN in North America 12% of pediatric gastroenterology physician often use, Canada report usage is much larger than the United States.
In the United States, it can be difficult to find a gastroenterologist who can provide ENN, Swaminath said. “Once you leave the specialized IBD center, the knowledge and effective implementation of this nutritional therapy will generally decline,” he said.
Gupta agreed. She said: “I think with the existing literature, this study should be used to encourage the pediatric gastrointestinal physicians provide EEN, under the right circumstances and to encourage patients and their families choose this treatment.” “It is important for patients and their families to discuss with their pediatric gastroenterologists whether or not they are the right choice for children,” he said.
She also noted the benefits of multidisciplinary teams in the most effective treatment for crohn’s disease.
Gupta said: “it is important to a pediatric IBD dietitian can closely involved in the care of children,” family for all team members (including social workers and psychologists) support, to help children and manage all aspects of life, it is very important, including schools and after-school activities, and maintain a high quality of life. “