Day Andrew S, Brown Stephanie C
Department of Paediatrics, University of Otago, Christchurch, New Zealand.
Front Pediatr. 2017 Sep 20;5:199. doi: 10.3389/fped.2017.00199. eCollection 2017.
Crohn's disease may be complicated by the development of penetrating (fistulizing) or structuring complications. The presentation of an intra-abdominal phlegmon or abscess with or without an associated fistula has traditionally required surgical intervention. This series of two cases illustrates a beneficial role of non-surgical management, with parenteral and then enteral nutrition playing central roles. This report further elaborates the potential adjunctive role of enteral nutrition in the management of this complication of CD.
克罗恩病可能会并发穿透性（瘘管形成）或狭窄性并发症。传统上，腹腔内蜂窝织炎或脓肿伴或不伴有相关瘘管的情况需要手术干预。这一系列的两个病例说明了非手术治疗的有益作用，肠外营养随后是肠内营养发挥了核心作用。本报告进一步阐述了肠内营养在克罗恩病这一并发症管理中的潜在辅助作用。
