Abstract | PURPOSE: METHODS: RESULTS: Forty-two patients in the enteral nutrition group and 29 patients in the nonenteral nutrition group recurred during periods ranging from 3 to 159 months. The cumulative rate of recurrence was significantly higher in the nonenteral nutrition group than in the enteral nutrition group (P = 0.047). Among the Crohn's disease patients in the enteral nutrition group, penetrating type (relative risk, 3.89; 95 percent confidence interval, 1.58-9.62), colonic involvement (relative risk, 3.10; 95 percent confidence interval, 1.39-6.9), and previous history of surgery (relative risk, 2.48; 95 percent confidence interval, 1.16-5.33) were factors that significantly affected recurrence. In contrast, penetrating type was the only possible factor associated with recurrence in the nonenteral nutrition group (relative risk, 2.75; 95 percent confidence interval, 0.96-7.81). CONCLUSIONS: Among patients with Crohn's disease under maintenance enteral nutrition, the risk of recurrence differs according to the disease type and the site of involvement. The maintenance treatment by enteral nutrition alone seems insufficient for patients with penetrating type or with colonic involvement.
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Authors | Motohiro Esaki, Takayuki Matsumoto, Shotaro Nakamura, Shinichiro Yada, Kiyoshi Fujisawa, Yukihiko Jo, Mitsuo Iida |
Journal | Diseases of the colon and rectum
(Dis Colon Rectum)
Vol. 49
Issue 10 Suppl
Pg. S68-74
(Oct 2006)
ISSN: 0012-3706 [Print] United States |
PMID | 17106818
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Chi-Square Distribution
- Crohn Disease
(diet therapy, pathology)
- Enteral Nutrition
- Female
- Humans
- Male
- Middle Aged
- Nutrition Therapy
(methods)
- Recurrence
- Retrospective Studies
- Risk Factors
- Statistics, Nonparametric
- Treatment Outcome
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