Human milk in the management of protracted diarrhoea of infancy.
نویسندگان
چکیده
Eleven of 13 children with the protracted diarrhoea syndrome of infancy were successfully treated with human milk. All the infants, who were severely malnourished, had deteriorated while fed on a wide range of highly modified formulas. Seven infants responded promptly with cessation of weight loss and diarrhoea; in four others, human milk was used to re-establish oral nutrition after a period of intravenous nutrition when all other measures had failed. Two children did not respond to human milk. Despite its high lactose content, human milk has nutritional and immunological properties that may reverse many of the factors thought to cause the protracted diarrhoea syndrome, and we conclude that it has an important role in management of this syndrome and may obviate the need for intravenous nutrition as a life saving measure.
منابع مشابه
A family study of protracted diarrhoea in infancy.
A family study of undiagnosed protracted diarrhoea in infancy was undertaken, based on 67 such patients, seen at The Hospital for Sick Children, London, over a 6-year period. All were fully investigated with the exclusion of those with known cause, such as coeliac disease, cow's milk intolerance, or enteric infections. The families were traced and visited. The material is certainly heterogeneou...
متن کاملProtracted diarrhoea in infancy
1 of 2 categories according to whether a specific diagnosis was established or not. A diagnosis (category 1) was established in 59 (72 %), the commonest diagnoses being coeliac disease (33 2 %), secondary disaccharide intolerance (12 2%), and cows' milk protein intolerance (11 3 %). Other diagnoses included primary sucrase-isomaltase deficiency, Shwachman's syndrome, ulcerative colitis, ganglio...
متن کاملNodular purpura in infancy.
Seventeen infants with nodular purpura are reported. All these infants suffered from a coagulation abnormality due to vitamin K deficiency. Contributing factors were breast-feeding, the use of milk substitutes, diarrhoea and antimicrobial therapy. The patients responded rapidly and completely to parenteral vitamin K. In the management of infantile diarrhoea use of antibiotics should be restrict...
متن کاملProtracted diarrhoea of infancy: evidence in support of an autoimmune variant.
Circulating autoantibodies to enterocytes were detected by indirect immunofluorescence in 14 out of 25 patients with idiopathic protracted diarrhoea of infancy. Similar specificities were not found in 50 control children with nongastroenterological disorders. The immunofluorescence pattern was more accentuated on the apical border of mature enterocytes. Enterocyte autoantibodies were mainly of ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 59 3 شماره
صفحات -
تاریخ انتشار 1984