Effect of parenteral nutrition and enteral feeding on D-lactic acidosis in a patient with short bowel.

@article{Karton1987EffectOP,
  title={Effect of parenteral nutrition and enteral feeding on D-lactic acidosis in a patient with short bowel.},
  author={M A Karton and R L Rettmer and Edward W. Lipkin},
  journal={JPEN. Journal of parenteral and enteral nutrition},
  year={1987},
  volume={11 6},
  pages={586-9}
}
D-Lactic acid can accumulate in blood in some patients with intestinal failure, leading to a clinical syndrome of severe acidosis and encephalopathy. The possible impact of parenteral nutrition on its clinical course has not been established. One patient with a severe short-bowel syndrome supported by long-term parenteral nutrition who suffered repeated episodes of ataxia and disorientation associated with elevated serum levels of D-lactate was studied. Results demonstrated no impact of glucose… CONTINUE READING

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