Tropical Enteropathy (Environmental Enteropathy) in Early Childhood: a Syndrome Caused by Contaminated Environment
Summary Tropical Enteropathy has been described in children and adults that live in developing countries. This disease may or may not be symptomatic. We studied 112 patients with Tropical Enteropathy for their nutritional status and intestinal function. The following tests were performed: D-xylose a...
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| Veröffentlicht in: | Journal of tropical pediatrics (1980) 1984-08, Vol.30 (4), p.204-209 |
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| container_title | Journal of tropical pediatrics (1980) |
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| creator | Fagundes-Neto, Ulysses Viaro, Tania Wehba, Jamal Patricio, Francy Reis da Silva Machado, Nelson Lourenço |
| description | Summary Tropical Enteropathy has been described in children and adults that live in developing countries. This disease may or may not be symptomatic. We studied 112 patients with Tropical Enteropathy for their nutritional status and intestinal function. The following tests were performed: D-xylose absorption, triglyceride load, carbohydrate load (lactose, sucrose, glucose), bile salts assay of jejunal juice and small bowel biopsy; follow-up of the nutritional status revealed that 107 (95.5 per cent) had presented with malnutrition. Xylose absorption revealed levels of 25.00±12.3 mg per cent and 23.70±ll.l at 1 and 2 hours, with controls of, 46.0±13.9 and 40.7±12.3 mg per cent (p |
| doi_str_mv | 10.1093/tropej/30.4.204 |
| format | Article |
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This disease may or may not be symptomatic. We studied 112 patients with Tropical Enteropathy for their nutritional status and intestinal function. The following tests were performed: D-xylose absorption, triglyceride load, carbohydrate load (lactose, sucrose, glucose), bile salts assay of jejunal juice and small bowel biopsy; follow-up of the nutritional status revealed that 107 (95.5 per cent) had presented with malnutrition. Xylose absorption revealed levels of 25.00±12.3 mg per cent and 23.70±ll.l at 1 and 2 hours, with controls of, 46.0±13.9 and 40.7±12.3 mg per cent (p<0.001). The mean plasma triglyceride increase after a margarine load was 32.80±19.30 mg per cent, with the control group 96.54±49.59 mg per cent (p< 0.001). Carbohydrate load tests revealed 48.8 per cent lactose malabsorption, 30.04 per cent sucrose malabsorption and 5 per cent glucose malabsorption. Bile salts determination showed 44.8 per cent conjugated/55.2 per cent unconjugated. Small bowel biopsy showed partial villous atrophy in 94 per cent of samples studied. These children constitute a homogenous group representative of the majority of the population of the Third World and call the attention for the necessity of planning a more efficient health care system and adequate sanitary conditions.</description><identifier>ISSN: 0142-6338</identifier><identifier>EISSN: 1465-3664</identifier><identifier>DOI: 10.1093/tropej/30.4.204</identifier><identifier>PMID: 6492234</identifier><identifier>CODEN: JTRPAO</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Biological and medical sciences ; Child, Preschool ; Female ; General aspects ; Humans ; Infant ; Infectious diseases ; Intestinal Absorption ; Intestinal Diseases - etiology ; Intestinal Diseases - pathology ; Intestine, Small - pathology ; Male ; Medical sciences ; Socioeconomic Factors ; Syndrome ; Tropical Climate ; Tropical medicine</subject><ispartof>Journal of tropical pediatrics (1980), 1984-08, Vol.30 (4), p.204-209</ispartof><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-240973c3f96d8f7f96e4eac4c5d4f848b2b55f1427e8dad6760898895cb8bbe23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9707664$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6492234$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fagundes-Neto, Ulysses</creatorcontrib><creatorcontrib>Viaro, Tania</creatorcontrib><creatorcontrib>Wehba, Jamal</creatorcontrib><creatorcontrib>Patricio, Francy Reis da Silva</creatorcontrib><creatorcontrib>Machado, Nelson Lourenço</creatorcontrib><title>Tropical Enteropathy (Environmental Enteropathy) in Early Childhood: a Syndrome Caused by Contaminated Environment</title><title>Journal of tropical pediatrics (1980)</title><addtitle>J Trop Pediatr</addtitle><description>Summary Tropical Enteropathy has been described in children and adults that live in developing countries. This disease may or may not be symptomatic. We studied 112 patients with Tropical Enteropathy for their nutritional status and intestinal function. The following tests were performed: D-xylose absorption, triglyceride load, carbohydrate load (lactose, sucrose, glucose), bile salts assay of jejunal juice and small bowel biopsy; follow-up of the nutritional status revealed that 107 (95.5 per cent) had presented with malnutrition. Xylose absorption revealed levels of 25.00±12.3 mg per cent and 23.70±ll.l at 1 and 2 hours, with controls of, 46.0±13.9 and 40.7±12.3 mg per cent (p<0.001). The mean plasma triglyceride increase after a margarine load was 32.80±19.30 mg per cent, with the control group 96.54±49.59 mg per cent (p< 0.001). Carbohydrate load tests revealed 48.8 per cent lactose malabsorption, 30.04 per cent sucrose malabsorption and 5 per cent glucose malabsorption. Bile salts determination showed 44.8 per cent conjugated/55.2 per cent unconjugated. Small bowel biopsy showed partial villous atrophy in 94 per cent of samples studied. These children constitute a homogenous group representative of the majority of the population of the Third World and call the attention for the necessity of planning a more efficient health care system and adequate sanitary conditions.</description><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Intestinal Absorption</subject><subject>Intestinal Diseases - etiology</subject><subject>Intestinal Diseases - pathology</subject><subject>Intestine, Small - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Socioeconomic Factors</subject><subject>Syndrome</subject><subject>Tropical Climate</subject><subject>Tropical medicine</subject><issn>0142-6338</issn><issn>1465-3664</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc9PIyEYholxo_XH2ZMJB7PRw7TMwADjbZ10dROzHqzReCEMMCk6AxWmZvvfS9OmcU8f5H2-N-EBgLMcjXNU4ckQ_MK8TTAak3GByB4Y5YSWGaaU7IMRykmRUYz5ITiK8Q0hVHBCDsABJVVRYDICYZYKrJIdnLrBpLMc5it4OXWfNnjXGzf8H11B6-BUhm4F67nt9Nx7fQ0lfFw5HXxvYC2X0WjYpNyn5d46OaT7t8IT8KOVXTSn23kMnn5PZ_Vddv9w-6f-dZ8pXFZDVhBUMaxwW1HNW5aGIUYqokpNWk54UzRl2aYHMsO11JRRxCvOq1I1vGlMgY_Bz03vIviPpYmD6G1UpuukM34ZBc9xjihfg5MNqIKPMZhWLILtZViJHIm1ZbGxLDASRCTLaeN8W71seqN3_FZryi-2uYzJbRukUzbusIohlj4oYdkGs3Ew_3axDO-CMsxKcffyKp5JzWZ_n28Ex1_sdpdZ</recordid><startdate>198408</startdate><enddate>198408</enddate><creator>Fagundes-Neto, Ulysses</creator><creator>Viaro, Tania</creator><creator>Wehba, Jamal</creator><creator>Patricio, Francy Reis da Silva</creator><creator>Machado, Nelson Lourenço</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198408</creationdate><title>Tropical Enteropathy (Environmental Enteropathy) in Early Childhood: a Syndrome Caused by Contaminated Environment</title><author>Fagundes-Neto, Ulysses ; Viaro, Tania ; Wehba, Jamal ; Patricio, Francy Reis da Silva ; Machado, Nelson Lourenço</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-240973c3f96d8f7f96e4eac4c5d4f848b2b55f1427e8dad6760898895cb8bbe23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Intestinal Absorption</topic><topic>Intestinal Diseases - etiology</topic><topic>Intestinal Diseases - pathology</topic><topic>Intestine, Small - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Socioeconomic Factors</topic><topic>Syndrome</topic><topic>Tropical Climate</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fagundes-Neto, Ulysses</creatorcontrib><creatorcontrib>Viaro, Tania</creatorcontrib><creatorcontrib>Wehba, Jamal</creatorcontrib><creatorcontrib>Patricio, Francy Reis da Silva</creatorcontrib><creatorcontrib>Machado, Nelson Lourenço</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of tropical pediatrics (1980)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fagundes-Neto, Ulysses</au><au>Viaro, Tania</au><au>Wehba, Jamal</au><au>Patricio, Francy Reis da Silva</au><au>Machado, Nelson Lourenço</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tropical Enteropathy (Environmental Enteropathy) in Early Childhood: a Syndrome Caused by Contaminated Environment</atitle><jtitle>Journal of tropical pediatrics (1980)</jtitle><addtitle>J Trop Pediatr</addtitle><date>1984-08</date><risdate>1984</risdate><volume>30</volume><issue>4</issue><spage>204</spage><epage>209</epage><pages>204-209</pages><issn>0142-6338</issn><eissn>1465-3664</eissn><coden>JTRPAO</coden><abstract>Summary Tropical Enteropathy has been described in children and adults that live in developing countries. This disease may or may not be symptomatic. We studied 112 patients with Tropical Enteropathy for their nutritional status and intestinal function. The following tests were performed: D-xylose absorption, triglyceride load, carbohydrate load (lactose, sucrose, glucose), bile salts assay of jejunal juice and small bowel biopsy; follow-up of the nutritional status revealed that 107 (95.5 per cent) had presented with malnutrition. Xylose absorption revealed levels of 25.00±12.3 mg per cent and 23.70±ll.l at 1 and 2 hours, with controls of, 46.0±13.9 and 40.7±12.3 mg per cent (p<0.001). The mean plasma triglyceride increase after a margarine load was 32.80±19.30 mg per cent, with the control group 96.54±49.59 mg per cent (p< 0.001). Carbohydrate load tests revealed 48.8 per cent lactose malabsorption, 30.04 per cent sucrose malabsorption and 5 per cent glucose malabsorption. Bile salts determination showed 44.8 per cent conjugated/55.2 per cent unconjugated. Small bowel biopsy showed partial villous atrophy in 94 per cent of samples studied. These children constitute a homogenous group representative of the majority of the population of the Third World and call the attention for the necessity of planning a more efficient health care system and adequate sanitary conditions.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>6492234</pmid><doi>10.1093/tropej/30.4.204</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of tropical pediatrics (1980), 1984-08, Vol.30 (4), p.204-209 |
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| subjects | Biological and medical sciences Child, Preschool Female General aspects Humans Infant Infectious diseases Intestinal Absorption Intestinal Diseases - etiology Intestinal Diseases - pathology Intestine, Small - pathology Male Medical sciences Socioeconomic Factors Syndrome Tropical Climate Tropical medicine |
| title | Tropical Enteropathy (Environmental Enteropathy) in Early Childhood: a Syndrome Caused by Contaminated Environment |
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