Crohn's Disease: The Role of Nutrition Support

Donald R. Duerksen, MD, St. Boniface General Hospital and University of Manitoba, Winnipeg, Manitoba, Canada.

In This Article

Use of Percutaneous Gastrostomy Tubes

There is some concern that insertion of a percutaneous gastrostomy (PEG) tube in patients with Crohn's disease may lead to the development of peristomal disease or the formation of peristomal fistulas. However, because of the unpalatability of many of the elemental formulas and the need for prolonged enteral nutrition support in many patients with Crohn's disease, a PEG tube is frequently the best device for optimizing delivery of the enteral formula. In a retrospective study of 25 patients with Crohn's disease who underwent surgical or endoscopic gastrostomy tube placement, there was no formation of peristomal Crohn's disease or development of gastrocutaneous fistulas.[39] A similar study conducted in children confirmed the safety of PEG tubes and indicated that they were more tolerable than nasogastric tubes.[40]


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