Frequent IgE sensitization to latex, cow's milk, and egg in children with short bowel syndrome

Mazon, Angel; Solera, Elena; Alentado, Noemi; Oliver, Fernando; Pamies, Rafael; Caballero, Luis; Nieto, Antonio; Dalmau, Jaime

doi:10.1111/j.1399-3038.2007.00591.x

Cited by 30 publications

(12 citation statements)

References 11 publications

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“…Others have postulated that children with intestinal failure may be more susceptible to dietary protein allergy, but few large or rigorous studies have been performed (15, 16). One potential triggering mechanism to allergic gastrointestinal disease in IF is increased intestinal permeability (17).…”

Section: Discussionmentioning

confidence: 99%

High Prevalence of Eosinophilic Gastrointestinal Disease in Children With Intestinal Failure

Stamm¹,

Hait²,

Litman

et al. 2016

J. pediatr. gastroenterol. nutr.

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Objectives To describe the prevalence and clinical features of gastrointestinal eosinophilic inflammation among pediatric patients with intestinal failure (IF). Methods Medical records of all patients followed in our institution's intestinal failure program who underwent GI endoscopy over a 15 year period were reviewed and clinical, pathologic, nutrition and laboratory data collected. Results One hundred and five patients underwent 208 GI endoscopic procedures with biopsy. The overall prevalence of eosinophilic inflammation, defined as increased eosinophils in at least one tissue type on at least one endoscopy, was 39/105 (37%). The tissue-specific prevalence of eosinophilic inflammation ranged widely, with the colon/rectosigmoid being the most common (18/68, 26%), followed by the esophagus (17/83, 20%), ileum (9/54, 17%), duodenum (4/83, 5%), and stomach (3/83, 4%). Higher peripheral eosinophil count and hematochezia were associated with eosinophilic inflammation in the colon (p=0.002 and 0.0004, respectively). The use of a strict elemental diet for 3 months prior to endoscopy was not associated with a decreased frequency of eosinophilic inflammation in any tissue. Conclusions Eosinophilic inflammation is a common histopathologic finding in IF patients. Colonic eosinophilic inflammation is associated with clinical symptoms of GI blood loss, and peripheral eosinophilia, and was not abrogated by a strict elemental diet.

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Section: Discussionmentioning

confidence: 99%

High Prevalence of Eosinophilic Gastrointestinal Disease in Children With Intestinal Failure

Stamm¹,

Hait²,

Litman

et al. 2016

J. pediatr. gastroenterol. nutr.

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“…In particular, prevalence rates in individuals who have received multiple operations involving exposure to NRL-containing materials, at an early age, such as patients with spina bifida, short bowel syndrome or urogenital abnormalities [18,70,71], have been reported in the earlier studies to be up to 60%, although this also appears to be decreasing due to reduced exposure to NRL [72]. …”

Section: Decreasing Incidence and Prevalence Of Type I Allergymentioning

confidence: 99%

Latex Medical Gloves: Time for a Reappraisal

Palosuo

Antoniadou

Gottrup

et al. 2011

Int Arch Allergy Immunol

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Many hospitals have implemented policies to restrict or ban the use of devices made of natural rubber latex (NRL) in healthcare as precautionary measures against the perceived risk of NRL allergy. Changes in glove technology, progress in measuring the specific allergenic potential of gloves and a dramatic decrease in the prevalence of NRL allergies after interventions and education prompted us to revisit the basis for justifiable glove selection policies. The published Anglophone literature from 1990 to 2010 was reviewed for original articles and reviews dealing with the barrier and performance properties of NRL and synthetic gloves and the role of glove powder. The review shows that NRL medical gloves, when compared with synthetic gloves, tend to be stronger, more flexible and better accepted by clinicians. The introduction of powder-free gloves has been associated with reductions in protein content and associated allergies. Recently, new methods to quantify clinically relevant NRL allergens have enabled the identification of gloves with low allergenic potential. The use of low-protein, low-allergenic, powder-free gloves is associated with a significant decrease in the prevalence of type I allergic reactions to NRL among healthcare workers. Given the excellent barrier properties and operating characteristics, dramatically reduced incidences of allergic reactions, availability of specific tests for selection of low-allergen gloves, competitive costs and low environmental impact, the use of NRL gloves within the hospital environment warrants reappraisal.

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“…Infants with SBS poorly tolerate enteral solutions exceeding 310 mOsm/kg (Goulet et al 2004). Nevertheless, the pediatric community favours free amino acid formulas in the hope of preventing the development of bovine protein allergy through a leaky gut (Mazon et al 2008). Furthermore, there is a report showing that in young infants, the switch from a protein hydrolysate formula to Neocate led to improved tolerance and prompt oral nutrition autonomy (De Greef et al 2010).…”

Section: Proteins and Amino Acidsmentioning

confidence: 98%

Short bowel syndrome in infants: the critical role of luminal nutrients in a management program

Roy

Groleau

Bouthillier

et al. 2014

Appl. Physiol. Nutr. Metab.

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Short bowel syndrome develops when the remnant mass of functioning enterocytes following massive resections cannot support growth or maintain fluid-electrolyte balance and requires parenteral nutrition. Resection itself stimulates the intestine's inherent ability to adapt morphologically and functionally. The capacity to change is very much related to the high turnover rate of enterocytes and is mediated by several signals; these signals are mediated in large part by enteral nutrition. Early initiation of enteral feeding, close clinical monitoring, and ongoing assessment of intestinal adaptation are key to the prevention of irreversible intestinal failure. The length of the functional small bowel remnant is the most important variable affecting outcome. The major objective of intestinal rehabilitation programs is to achieve early oral nutritional autonomy while maintaining normal growth and nutrition status and minimizing total parenteral nutrition related comorbidities such as chronic progressive liver disease. Remarkable progress has been made in terms of survivability and quality of life, especially in the context of coordinated multidisciplinary programs, but much work remains to be done.

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Frequent IgE sensitization to latex, cow's milk, and egg in children with short bowel syndrome

Cited by 30 publications

References 11 publications

High Prevalence of Eosinophilic Gastrointestinal Disease in Children With Intestinal Failure

High Prevalence of Eosinophilic Gastrointestinal Disease in Children With Intestinal Failure

Latex Medical Gloves: Time for a Reappraisal

Short bowel syndrome in infants: the critical role of luminal nutrients in a management program

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