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Crohn's Disease, Successfully Treated with Home Enteral Nutrition (HEN) and Maintained in a State of Remission over a Long-term, Report of Two Cases Kiyonori Kobayashi 1 , Tomoe Katsumata 1 , Kaoru Yokoyama 1 , Miwa Sada 1 , Masahiro Igarashi 1 , Katsunori Saigenji 1 1Department of Gastroenterology, Kitasato University East Hospital Keyword: Crohn病 , 在宅経腸栄養療法 , 長期経過 , 緩解維持 pp.1293-1299
Published Date 1999/9/25
DOI https://doi.org/10.11477/mf.1403102825
  • Abstract
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 We reported two cases of Crohn's disease, successfully treated with home enteral nutrition (HEN) and maintained in a state of remission over a long term.

 The first case was small-intestinal type of Crohn's disease. Small-intestinal radiography revealed typical cobblestone appearance and multiple longitudinal ulcers in the ileum. The second case was large-intestinal type of Crohn's disease. Barium enema and colonoscopic findings revealed multiple aphthoid and irregularshaped ulcers in the colon. Some of the ulcers were arranged in a longitudinal direction. In hospital, we treated both cases with total parenteral and/or enteral nutrition, and induced complete remission. After leaving hospital, the treatment with HEN was continued and both cases were maintained in a state of remission for more than f ive years. Home enteral nutrition is useful for maintaining remission and improving the long-term clinical course of Crohn's disease.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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