Dietary management of D-lactic acidosis in short bowel syndrome

Manipulation of carbohydrate intake was used to treat severe, recurrent D-lactic acidosis in a patient with short bowel syndrome. Dietary carbohydrate composition was determined after assessment of D-lactic acid production from various carbohydrate substrates by faecal flora in vitro. This approach...

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Veröffentlicht in:	Archives of disease in childhood 1990-02, Vol.65 (2), p.229-231
Hauptverfasser:	Mayne, A J, Handy, D J, Preece, M A, George, R H, Booth, I W
Format:	Artikel
Sprache:	eng
Schlagworte:	Acid production Acidosis Acidosis, Lactic - diet therapy Acidosis, Lactic - etiology Acidosis, Lactic - metabolism Antibiotics Carbohydrate composition Carbohydrate Metabolism Case studies Child Colon - microbiology Diet Diet therapy Dietary Carbohydrates - administration & dosage Dietary intake Female Flora Humans Intestine Lactates - metabolism Lactic Acid Lactic acidosis Lactobacillus - metabolism Malabsorption syndromes Malabsorption Syndromes - complications Pediatrics Short bowel syndrome Short Bowel Syndrome - complications Short Bowel Syndrome - metabolism
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Zusammenfassung:	Manipulation of carbohydrate intake was used to treat severe, recurrent D-lactic acidosis in a patient with short bowel syndrome. Dietary carbohydrate composition was determined after assessment of D-lactic acid production from various carbohydrate substrates by faecal flora in vitro. This approach may be preferable to repeated courses of antibiotics.
ISSN:	0003-9888 1468-2044
DOI:	10.1136/adc.65.2.229