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Elemental Diets in the Management of Crohn's Perianal Fistulae
Author(s) -
CALAM J.,
CROOKS PATRICIA E.,
WALKER ROBIN J.
Publication year - 1980
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/014860718000400102
Subject(s) - elemental diet , medicine , colostomy , feces , crohn's disease , parenteral nutrition , gastroenterology , enema , disease , surgery , biology , paleontology
Elemental diets have been used extensively in the routine management of patients with Crohn's disease during the past 2 years in this unit. We report our experience in 6 patients in whom perianal fistulae were present. Fistulae improved in 4 patients during elemental feeding; complete healing of fistulae occurred in one of them. No benefit was apparent in 2 patients, but in one the fecal stream had previously been diverted by transverse colostomy, and in the other fecal stasis was marked. The clinical significance of the observations and the difficulties of assessing diet therapy in this condition are discussed.