Premium
Beneficial Effects of Fasting and Low Carbohydrate Diet in D‐Lactic Acidosis Associated with Short‐Bowel Syndrome
Author(s) -
Ramakrishnan Thiruvengadam,
Stokes Perry
Publication year - 1985
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607185009003361
Subject(s) - short bowel syndrome , medicine , lactic acidosis , carbohydrate , gastroenterology , acidosis , endocrinology , parenteral nutrition
A case of D‐lactic acidosis in an 18‐yr‐old man with a short bowel is reported. The diagnosis, suspected on clinical grounds, was confirmed by serum and urine levels of D‐lactate. Our studies revealed that an ad libitum diet was associated with elevated D‐lactate levels and “nothing per oral” and 10% carbohydrate diet regimens caused a drop in D‐lactate levels. We recommend npo and low carbohydrate diet as preferred alternatives to antibiotics in some patients with D‐lactic acidosis. The literature is reviewed. (Journal of Parenteral and Enteral Nutrition 9:361–363, 1985)