Chronic Diarrhea and Malabsorption (Including Short Gut Syndrome): Working Group Report of the First World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition

  title={Chronic Diarrhea and Malabsorption (Including Short Gut Syndrome): Working Group Report of the First World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition},
  author={John A. Walker-Smith and John A. Barnard and Zulfiqar Ahmed Bhutta and James E. Heubi and Ziomara Reeves and Jacques Schmitz},
  journal={Journal of Pediatric Gastroenterology and Nutrition},
I. SUMMARY OF THE PROBLEMDiarrhea is the main clinical expression of malabsorption. When such diarrhea is chronic, the associated general malabsorptive state results in malnutrition. In the classical descriptions of children with malabsorption syndromes, chronic diarrhea usually led to failure to gr 
7 Citations
Emerging Approaches for the Treatment of Fat Malabsorption Due to Exocrine Pancreatic Insufficiency
The main purpose of the gastrointestinal tract is to digest and absorb nutrients (fat, carbohydrates, and proteins), micronutrients (vitamins and trace minerals), water, and electrolytes. DigestionExpand
Critical appraisal of the management of severe malnutrition: 3. Complications
  • D. Brewster
  • Medicine
  • Journal of paediatrics and child health
  • 2006
The evidence that severely malnourished children do not tolerate excessive fluid administration is good, so caution must be exercised with regards to fluids in the initial phase of treatment, and there is also good evidence that wide spectrum antibiotics need to be given empirically for severe malnutrition to prevent the otherwise unavoidable early mortality. Expand
Oxidative Status and DNA Damage in Chidren With Marasmic Malnutrition
In marasmus cases, the oxidative and antioxidative processes, which have a counteractive effect, decreased together and the other results of the study indicate that there is no increase in DNA damage in marasmu cases. Expand
Se realizo un estudio longitudinal y prospectivo a 654 pacientes que ingresaron en el servicio de gastroenterologia del Hospital Pediatrico Eduardo Agramonte Pina. Desde enero de 1993 a junio deExpand
Papilla de arroz en la dieta de niños desnutridos
En los ninos con una desnutricion energeticoproteica la intolerancia a la leche es frecuente, en ellos se trata de disminuir la cantidad de lactosa de la dieta lactea y se mezcla con formulasExpand
33 – Protracted Diarrhea


[Lactose intolerance in hospitalized infants with acute diarrhea due to classic enteropathogenic Escherichia coil (EPEC)].
Three hundred and eleven hospitalized weaned infants with acute diarrhea, all under 12 months of age, were studied in order to evaluate the development of lactose intolerance and its association withExpand
Reducing parenteral requirement in children with short bowel syndrome: impact of an amino acid-based complete infant formula.
An amino acid-based complete infant formula improved feeding tolerance and eliminated the need for parenteral nutrition in four children with short bowel syndrome who had previously required long-term parenTERal nutrition. Expand
Influence of bacterial overgrowth and intestinal inflammation on duration of parenteral nutrition in children with short bowel syndrome.
Although the length of small intestine remaining after resection is the best immediate predictor of final success in terminating PN in children with short bowel syndrome, PN is prolonged by bacterial overgrowth and associated enteritis in those who will ultimately be weaned. Expand
Infection and cholestasis in neonates with intestinal resection and long-term parenteral nutrition.
Cholestasis is common in infants with neonatal intestinal resection and developed shortly after the first infection in 90% of patients, and the cholestatic patients did not differ in gestational age, birth weight, and length; primary diagnosis; length of bowel resected; or presence of ileocecal valve. Expand
Use of nonhuman milks in the dietary management of young children with acute diarrhea: a meta-analysis of clinical trials.
The results suggest that children with mild or no dehydration and those who are managed according to appropriate treatment protocols, such as that promoted by the World Health Organization, can be treated as successfully with lactose-containing diets as with lactOSE-free ones. Expand
Clinical and nutritional consequences of lactose feeding during persistent postenteritis diarrhea.
Feeding lactose-containing nonhuman milk as the sole nutrient source to children with persistent diarrhea resulted in substantially greater purging which was sufficiently severe to increase the risk of dehydration in these children. Expand
Current status of intestinal transplantation in children.
The complex clinical and immunologic course of these patients is reflected in a higher complication rate as well as patient and graft loss than seen after heart, liver, and kidney transplantation, although better than after lung transplantation. Expand
Necrotizing Enterocolitis: Research Agenda for a Disease of Unknown Etiology and Pathogenesis
This report summarizes the current concepts of neonatal gastrointestinal physiology and pathophysiology that were presented by experts in the areas relevant to NEC and presents recommendations for future areas of collaborative research initiatives to fill the gaps in knowledge about NEC. Expand
Treatment of parenteral nutrition-associated cholestasis with cholecystokinin-octapeptide.
Treatment with CCK appears to be associated with a decline in direct bilirubin levels, provided overt liver failure has not developed, and side effects from CCK occurred in two patients and consisted of abdominal pain and feeding intolerance. Expand
Nutrient Absorption and Weight Gain in Persistent Diarrhea: Comparison of a Traditional Rice‐Lentil/Yogurt/Milk Diet with Soy Formula
The data indicate that a traditional diet can be successfully used in the dietary management of PD and severe malnutrition but that a more optimal composition, yielding a higher success rate, should be sought. Expand