Pharmaconutrition in children with IBD and necrotizing enterocolitis: A review of the literature

Teresa Capriati, Fabio Panetta, Maria Sole Basso, Raffaele Edo Papa, Domenica Elia, Maddalena Grisoni, Anna Maria Cappelli, Antonella Diamanti

Research output: Contribution to journalArticle

Abstract

Inflammatory bowel disease and necrotizing enterocolitis are sustained by immunoinflammatory responses that can be modulated by various dietary components. Taken together, these two entities allow to summarize the main clinical experience with pharmaconutrients in children. Review of the literature shows that the experimental basis for the expected clinical efficacy of these dietary components is quite strong. However, there is only minimal evidence of any clinical benefit of pharmaco-nutrients in inflammatory bowel disease and necrotizing enterocolitis. Among all pharmaconutrients, probiotics show the best evidence of clinical benefit mainly for the treatment and prevention of chronic pouchitis in patients undergoing colectomy for ulcerative colitis and for the prevention of moderate to severe forms of necrotizing enterocolitis in preterm infants. Among the remaining available pharmaco-nutrients, arginine and transforming growth factor-β appear to be promising in preventing necrotizing enterocolitis and modulating the inflammatory response in Crohn's disease, respectively. Large multi-center studies will be needed to confirm these data.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalNutritional Therapy and Metabolism
Volume31
Issue number1
DOIs
Publication statusPublished - Jan 2013

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Keywords

  • Inflammatory bowel disease
  • Necrotizing enterocolitis
  • Pediatrics
  • Pharmaconutrients

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Nutrition and Dietetics

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