Complementary and alternative medicine use in children with inflammatory bowel disease

Complementary and Alternative Medicine (CAM) consists of products and practices that are not considered to be a part of conventional medicine. This article reviews pediatric studies on CAM in Inflammatory Bowel Disease (IBD) along with relevant adult studies. Prevalence of CAM use ranges from 22 to 84% in children with IBD all over the world. CAM use in IBD includes diet changes, supplements, herbals, botanicals and mind-body therapies. Common reasons for using CAM include severe disease and concern for adverse effects of conventional medicines. Despite widespread use, there are limited studies on efficacy and safety of CAM in children. Small studies suggest a favorable evidence for use of probiotics, fish oil, marijuana and mind-body therapy in IBD. Adverse effects of CAM are reported but are rare. The article provides current state of knowledge on the topic and provides guidance to physicians to address CAM use in pediatric patients with IBD. Address correspondence and reprint requests to Dinesh S. Pashankar, MD, MRCP, Department of Pediatrics, Yale University, School of Medicine, 333 Cedar Street, PO Box 208064, LMP 4091A, New Haven, CT 06520 (e-mail: dinesh.pashankar@yale.edu). Received 7 August, 2018 Accepted 6 November, 2018 Financial Disclosure Statement: The authors have no financial relationship relevant to this article to disclose. Funding Source: None Conflict of interest Statement: The authors have no conflicts of interest relevant to this article to disc. Abbreviations: CAM-complementary and alternative medicine, IBD-Inflammatory bowel disease, CD – Crohn's disease, UC – Ulcerative colitis Author role: Dr Phatak conceptualized the review, drafted the initial manuscript, reviewed and revised the manuscript and approved the final manuscript as submitted. Dr Alper reviewed and revised the manuscript, and approved the final manuscript as submitted Dr Pashankar conceptualized the review, reviewed and revised the manuscript, and approved the final manuscript as submitted. © 2018 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,

from Gastroenterology via xlomafota13 on Inoreader https://ift.tt/2Qxr7VG
via IFTTT