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 may be preferable to repeated courses of antibiotics.
Mayne
A J
AJ
Institute of Child Health, University of Birmingham.
Handy
D J
DJ
Preece
M A
MA
George
R H
RH
Booth
I W
IW
D000140:Acidosis, Lactic / Q000178:diet therapy* / Q000209:etiology / Q000378:metabolism; D050260:Carbohydrate Metabolism; D002648:Child; D003106:Colon / Q000382:microbiology; D004040:Dietary Carbohydrates / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007773:Lactates / Q000378:metabolism; D019344:Lactic Acid; D007778:Lactobacillus / Q000378:metabolism; D008286:Malabsorption Syndromes / Q000150:complications*; D012778:Short Bowel Syndrome / Q000150:complications* / Q000378:metabolism
D004040:Dietary Carbohydrates; D007773:Lactates; D019344:Lactic Acid