Abstract:
:D-lactic acidosis is a rare complication in children with short bowel syndrome. It results from fermentation of dietary carbohydrate by luminal bacteria in the small bowel caused by bacterial overgrowth. We present the case of a 14-year-old boy who had been diagnosed with short bowel syndrome from surgical treatment of midgut volvulus five years previously. His nutritional status was maintained by total parenteral nutrition and enteral feeding as tolerated. During hospitalization, episodic confusion and hyperpnea developed. The investigation showed severe metabolic acidosis with serum bicarbonate of 9 mmol/L and a wide anion gap. The serum D-lactic acid was 11.21 mmol/L. There was no evidence of renal or hepatic failure. Therefore, D-lactic acidosis from enteral carbohydrate overload was diagnosed. The treatment was correction of metabolic acidosis by sodium bicarbonate infusion and carbohydrate restriction. The results of the therapy were satisfactory. Early detection and appropriate treatment is necessary to avoid morbidity and mortality following this complication of short bowel syndrome.
journal_name
Asia Pac J Clin Nutrjournal_title
Asia Pacific journal of clinical nutritionauthors
Puwanant M,Mo-Suwan L,Patrapinyokul Ssubject
Has Abstractpub_date
2005-01-01 00:00:00pages
195-8issue
2eissn
0964-7058issn
1440-6047journal_volume
14pub_type
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章,评审
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journal_title:Asia Pacific journal of clinical nutrition
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
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pub_type: 杂志文章
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
doi:
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pub_type: 杂志文章,评审
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章,评审
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journal_title:Asia Pacific journal of clinical nutrition
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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