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자료유형
학술저널
저자정보
Takashi Ishige (Gunma University Graduate School of Medicine) Takeshi Tomomasa (PAL Children’s Clinic) Hitoshi Tajiri (Osaka General Medical Center) Atsushi Yoden (Osaka Medical College)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.15 No.3
발행연도
2017.1
수록면
345 - 351 (7page)

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Background/Aims: Enteral nutrition (EN) is recommended for the treatment of pediatric Crohn’s disease (CD) in Japan. However, the indications and treatment protocols for EN vary among hospitals. In the present study, we aimed to determinehow EN was administered to pediatric patients and whether physicians followed treatment guidelines in their practices. Methods:Two types of questionnaires were administered to 32 physicians who were involved in the treatment of pediatric CD. Theconsensus questionnaire evaluated the physicians’ attitudes towards EN, whereas the efficacy questionnaire collected data onpatients with CD, aged <17 years, who had undergone induction therapy between 2006 and 2011. Results: A total of 23 physiciansresponded to the questionnaires. The results of the consensus questionnaire indicated that 82% and 59% of study participantsrecommended EN treatment for all newly diagnosed pediatric patients with CD and all relapsed patients, respectively. Exclusive EN (EEN) and elemental formula were recommended by 84% and 85% of physicians, respectively. The efficacy questionnairerevealed that 57 of the 58 patients received EN. Elemental formula was used in 39 of 40 patients who were treatedwith EEN. Of these 40 patients, 27 were treated with EEN alone; of these, 22 (81%) achieved remission without any other treatment. The mean duration of EEN was 15.9 days. Conclusions: EN is widely recommended by physicians treating pediatricCD in Japan. In contrast to Western countries, clinicians used elemental formula more often and with a shorter EEN treatmentduration.

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