[Exclusive elemental enteral diet in cortico-resistant and cortico-dependent forms of XXXX ].

@entity1 @entity69 @entity134 @entity230 @entity30
The aim of this study was to investigate the value of elemental diet in @entity134 -resistant and @entity134 -dependent @entity30 . Elemental diet (Vivonex HN, 39.4 +/- 9.2 kcal/kg/d) was delivered through a nasogastric tube at a constant rate. Twenty therapeutic periods lasting from 20 to 74 days (median, 32 days) were undertaken in 18 @entity1 . Elemental diet was well tolerated. Mean values of hemoglobin, serum albumin, and serum @entity69 increased significantly through the therapeutic period; body weight and anthropometric data did not change significantly. The short-term response to elemental diet was excellent in 11 cases, demonstrated by achievement of clinical remission and @entity134 withdrawal; six @entity1 had an incomplete remission and remained slightly active or had to be maintained under low dose @entity230 ; three @entity1 did not respond to therapy and had to be operated upon. During the follow-up (6-30 months), 8 @entity1 out of 17 had a relapse. Relapse was controlled by medical therapy in 5 cases and led to surgery in the 3 other cases. We conclude that elemental diet, as total parenteral nutrition, is an effective therapy of @entity134 -resistant and @entity134 -dependent @entity30 . However, elemental diet does not prevent relapse.
