ABSTRACT: Exclusive enteral nutrition is an effective yet often underused therapy for the induction of remission in pediatric Crohn disease. The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition formed the Enteral Nutrition Working Group to review the use of enteral nutrition therapy in pediatric Crohn disease. The group was composed of 5 pediatric gastroenterologists and 1 pediatric nutritionist, all with an interest and/or expertise in exclusive enteral nutrition. Specific attention was placed upon review of the evidence for efficacy of therapy, assessment of the variations in care, identification of barriers to its widespread use, and compilation of the necessary components for a successful program. The present guideline is intended to aid physicians in developing an enteral nutrition therapy program and potentially promote its use.
*Division of Gastroenterology, Janeway Children's Health Center, Memorial University, St John's, Newfoundland and Labrador, Canada
†Department of Paediatrics, University of Otago, Christchurch, NZ
‡Division of Gastroenterology and Nutrition, IWK Health Centre and Dalhousie University
§Pediatric Gastroenterology, IWK Health Centre, Halifax, Nova Scotia, Canada
||Division of Pediatric Gastroenterology and Nutrition, Children's Hospital at Monmouth Medical Center, Long Branch, NJ
#Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, University of Kentucky Medical Center, Lexington, KY.
Address correspondence and reprint requests to Dr Jeff Critch, Division of Gastroenterology, Janeway Children's Health Center, Memorial University, 300 Prince Philip Dr, St John's, Newfoundland and Labrador A1B 3V6, Canada (e-mail: firstname.lastname@example.org).
Received 15 June, 2011
Accepted 1 September, 2011
J.C. serves on the speakers’ bureaus of Mead Johnson Canada and Schering Canada, and is a member of the advisory board of Abbott Pharmaceuticals Canada; A.S.D. is a member of the MSD advisory board; A.O. is a site investigator for Centocor and UCB, serves on the speakers’ bureaus of Mead Johnson Canada, Schering Canada, and Nestlé Canada, and is a member of the advisory board of Abbott Pharmaceuticals Canada; J.E.T. is a member of the advisory boards of Danonino and Dannon Yogurt.