Podcast Series:Enteral Nutrition as Primary Therapy for Crohn's Disease - Making it happen for pediatric patients
Robert, your 10-year-old patient, has been diagnosed with Crohn’s disease and is prescribed enteral nutrition. How long should Robert be on exclusive enteral nutrition to induce remission of disease?
A - A minimum of 3 weeks and up to 6 weeks
B - A minimum of 12 weeks and beyond as much as tolerated
C - A minimum of 8 weeks with a longer course of 12 weeks in certain settings
D - Period is determined based on improvement in clinical and biochemical parameters
According to available data, which of the following formula types shows a significant difference in outcome when utilized exclusively for induction of remission?
A - Elemental
B - Semielemental
C - Polymeric
D - Outcome results are similar for all formula types
The following strategies have been utilized to prolong remission after induction with exclusive enteral nutrition in adults and children with Crohn’s disease:
A - Enteral nutrition via NG overnight with normal diet during day time
B - Short periods of exclusive NG elemental formula every few months
C - Oral supplementation throughout the day in addition to a normal diet
D - All of the above
Which of the following is not a typically effective intervention for some common concerns and issues with formula and intake in children on EN therapy?
A - Once the calorie and volume are fixed based on estimated needs and should not be varied based on child’s complaint of hunger
B - Taste fatigue may be overcome by NG feeds including overnight administration
C - Thirst may be mitigated by increasing intake of clear liquids
D - Chewing gum or candy may be allowed as an option
Melissa, a 13-year-old patient, is worried about how her treatment will affect the way kids treat her at school. Which of the following is an effective intervention to help smooth her transition and integration of school activities as well as improve her peer acceptance?
A - The patient and family meeting with a social worker or school teacher
B - Having a nurse who works with IBD children in the clinic meet with school nurses and teachers
C - The parents visiting the child’s class to educate students about IBD and treatment
D - Discussing potential problems encountered during active sports participation and discussing and establishing possible interventions beforehand
E - All of the above