Treatment of active Crohn's disease in children using partial enteral nutrition with liquid formula: a randomised controlled trial

T Johnson, SM Hill, Michael Murphy, Anita MacDonald, A Thomas

Research output: Contribution to journalArticle

150 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: Total enteral nutrition (TEN) with a liquid formula can suppress gut inflammation and induce remission in active Crohn's disease. The mechanism is obscure. Studies have suggested that long term nutritional supplementation with a liquid formula (partial enteral nutrition (PEN)) may also suppress inflammation and prevent relapse. The aim of this study was to compare PEN with conventional TEN in active Crohn's disease. PATIENTS AND METHODS: Fifty children with a paediatric Crohn's disease activity index (PCDAI)>20 were randomly assigned to receive 50% (PEN) or 100% (TEN) of their energy requirement as elemental formula for six weeks. The PEN group was encouraged to eat an unrestricted diet while those receiving TEN were not allowed to eat. The primary outcome was achievement of remission (PCDAI
Original languageEnglish
Pages (from-to)356-61
Number of pages6
JournalGut
Volume55
DOIs
Publication statusPublished - 1 Mar 2006

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