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Inflammatory bowel diseases (IBD) are chronic inflammatory diseases. It is believed that the inflammation results from sustained abnormal immune response towards altered or pathogenic microbiota in genetically susceptible hosts. Malnutrition is common in IBD, especially in pediatric Crohn's disease(CD). Exclusive enteral nutrion(EEN) has been shown to improve nutritional status and inflammatory markers in pediatric CD. But there is limited data about the effect of EEN on Chinese children with CD. In this study, investigators focused on disease process,nutritional status and gut microbiome of Chinese children with newly-diagnosed CD after EEN treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EEN group | Other | Received exclusive enteral nutrition after enrollment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exclusive Enteral Nutrition | Dietary Supplement | a complete liquid diet of formula for 8 weeks were adminstered in Crohn's Diseas patients ,Nutritional intake was based on the child's estimated energy requirements, no regular table food during 8 weeks treament. |
| Measure | Description | Time Frame |
|---|---|---|
| 5-item gut microbiota measure | the change of gut microbiota during EEN and after the end of EEN | 0, 2, 6, 8, 12 weeks post-EEN |
| 2-item Simple Endoscopic Score for CD (SES-CD) | According to the SES-CD, at the end of EEN, the patients whose SES-CD scores were ≤4 were classified into the remission group (CD-RE), other patients whose SES-CD scores were >4 were classified into the non-remission group (CD-NRE) | 0, 8, weeks post-EEN |
| Measure | Description | Time Frame |
|---|---|---|
| 5-item weighted Paediatric Crohn's disease activity index measure(wPCDAI) | wPCDAI scoret included 8 items (Abdominal pain, Patient functioning, Stools, ESR, Albumin, Weight, Perirectal disease, Extraintestinal manifestations ). | 0, 2, 6, 8, 12 weeks post-EEN |
| 2-item 25-hydroxyvitamin D3 measure (25-OH VITD3) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's hospital of Fudan university | Shanghai | Shanghai Municipality | 201102 | China |
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the level of 25-OH VITD3 in 8 weeks post-EEN is higher than 0 week represents a better outcome |
| 0,8 weeks post-EEN |
| 5-item weight measure | 0, 2, 6, 8, 12 weeks post-EEN |
| 5-item height measure | 0, 2, 6, 8, 12 weeks post-EEN |
| 5-item Fecal Calprotectin | 0, 2, 6, 8, 12 weeks post-EEN |
| 2-item Insulin-like growth factor-1 | 0, 8 weeks post-EEN |
| 2-item Calcium, vitamin | 0, 8 weeks post-EEN |
| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
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