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Title: | Exclusive enteral nutrition: An optimal care pathway for use in children with active luminal Crohn's disease. | Authors: | Burgess D.;McGrath K.H.;Watson C.;Collins T.;Brown S.;Marks K.;Dehlsen K.;Herbison K.;Landorf E.;Benn L.;Fox J. ;Liew M. | Monash Health Department(s): | Nutrition and Dietetics | Institution: | (Burgess) Department of Paediatric Gastroenterology, John Hunter Children's Hospital, Newcastle, NSW, Australia (McGrath) Department of Gastroenterology and Clinical Nutrition, Royal Children's Hospital Melbourne, Parkville, VIC, Australia (McGrath) Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia (Watson) Department of Paediatric Dietetics, Monash Children's Hospital, Melbourne, VIC, Australia (Collins) Department of Paediatric Dietetics, Perth Children's Hospital, Perth, WA, Australia (Brown) Department of Paediatrics, Christchurch Public Hospital, Christchurch, New Zealand (Marks) Children's Hospital Westmead, Sydney Children's Hospital Network, Sydney, NSW, Australia (Dehlsen) Sydney Children's Hospital, Sydney Children's Hospital Network, Sydney, NSW, Australia (Herbison) Department of Paediatric Dietetics, Starship Children's Hospital, Auckland, New Zealand (Landorf) Department of Paediatric Dietetics, Womens and Children's Hospital, Adelaide, SA, Australia (Benn) Department of Paediatric Dietetics, Royal Children's Hospital Melbourne, Melbourne, VIC, Australia (Fox, Liew) Department of Paediatric Dietetics, Queensland Children's Hospital, Brisbane, QLD, Australia |
Issue Date: | 8-Apr-2022 | Copyright year: | 2022 | Publisher: | John Wiley and Sons Inc | Place of publication: | Australia | Publication information: | Journal of Paediatrics and Child Health. 58(4) (pp 572-578), 2022. Date of Publication: April 2022. | Journal: | Journal of Paediatrics and Child Health | Abstract: | Aim: Exclusive enteral nutrition (EEN) is recommended as a first-line therapy for active luminal paediatric Crohn's disease, by many contemporary consensus guidelines. However, EEN protocols vary internationally. A key enabler for the use of EEN therapy has been identified as the standardisation of protocols. The aim of this study was to develop an optimal care pathway for use of EEN in children with active luminal Crohn's disease. Method(s): A working group of 11 paediatric gastroenterology dietitians and one paediatric gastroenterologist from Australia and New Zealand was convened to develop a standard optimal care pathway. Seven key areas were identified; clinical indications, workup assessments, EEN prescription, monitoring, food reintroduction, partial enteral nutrition and maintenance enteral nutrition. Recent literature was reviewed, assessed according to the National Health and Medical Research Council guidelines, and consensus statements were developed and voted on. Consensus opinion was used where literature gaps existed. Result(s): A total of nineteen consensus statements from the seven key areas were agreed upon. The consensus statements informed the optimal care pathway for children with active luminal undertaking EEN in Australia and New Zealand. Conclusion(s): This study developed an EEN optimal care pathway to facilitate standardisation of clinical care for children with active luminal Crohn's disease, and hopefully improve clinical outcomes and identify areas for future research.Copyright © 2022 Paediatrics and Child Health Division (The Royal Australasian College of Physicians). | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1111/jpc.15911 | PubMed URL: | 35181966 [https://www.ncbi.nlm.nih.gov/pubmed/?term=35181966] | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/47406 | Type: | Article | Subjects: | Australia body weight change development Crohn disease dietitian enteric feeding gastroenterologist health care quality multidisciplinary team New Zealand nutritional assessment patient compliance practice guideline standardization nasogastric tube active luminal crohn disease exclusive enteral nutrition optimal care pathway |
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