Clinical case of using exclusive enteral nutrition for remission induction in a child with Crohn’s disease

Abstract

According to current clinical guidelines, exclusive enteral nutrition (EEN) is an effective and preferred treatment for inducing remission in children with Crohn’s disease (CD), except in cases of severe pancolitis, isolated oral or perianal lesions, stenotic and fistulous forms. This article presents our own clinical experience with EEN in a child with newly diagnosed CD. The combined use of EEN with Modulen IBD formula helped to achieve clinical remission (abdominal pain regression, nutritional status improvement) and reduce laboratory and endoscopic activity. The experience of using EEN in Russia is limited due its low availability and difficulties in achieving compliance. Nevertheless, the possibility of using EEN deserves attention because of its benefits: a lower risk of side effects, faster healing of the intestinal mucosa, a favorable effect on nutritional status and course of the disease. Key words: Crohn’s disease, exclusive enteral nutrition