Tolerance and absorption of lactose from milk and yogurt during short-bowel syndrome in humans

Arrigoni, Eviano; Marteau, P.; Briet, F.; Pochart, Philippe; Rambaud, J C; Messing, Bernard

doi:10.1093/ajcn/60.6.926

Cited by 59 publications

(22 citation statements)

References 16 publications

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“…When the epithelium heals, the activity of lactase returns. However, secondary maldigestion does not automatically lead to severe symptoms of intolerance [13,14].…”

Section: Hypolactasia Lactose Maldigestion and Lactose Intolerancementioning

confidence: 99%

Lactose Intolerance

Vesa¹,

Marteau

Korpela³

2000

Journal of the American College of Nutrition

291

164

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Lactose maldigestion has been under intensive research since its discovery in the 1960's. We know the prevalence of lactose maldigestion in a great number of countries and ethnic groups. However, there is often no provision made for the secondary type of maldigestion, and the study populations have sometimes been selected rather than picked at random. New methods for the measurement of lactose digestion have been developed, and its genetic mechanisms have received a great deal of attention during the last few years. However, in many studies the measurement and/or reporting of symptoms has quite often been overlooked. In this review, various topics related to lactose intolerance are discussed with a special emphasis on its symptoms.

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“…When the epithelium heals, the activity of lactase returns. However, secondary maldigestion does not automatically lead to severe symptoms of intolerance [13,14].…”

Section: Hypolactasia Lactose Maldigestion and Lactose Intolerancementioning

confidence: 99%

Lactose Intolerance

Vesa¹,

Marteau

Korpela³

2000

Journal of the American College of Nutrition

291

164

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“…The added sugar consumption limit is set at 36 g/day for men, and 25 g/day for women, based on the American Heart Association's recommendations (Johnson et al 2009). The upper limit for yogurt is set at 200 g/day, given that it has been studied in clinical trials in amounts of up to 200 g/day (Arrigoni et al 1994;Shermak et al 1995;Rosado et al 2005;Zemel et al 2005;Tavani et al 2002).…”

Section: Methodsmentioning

confidence: 99%

Can locally available foods provide a healthy diet at affordable costs? Case of Armenia

Ghazaryan

2018

Development Studies Research

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Nutrition-related health problems, such as obesity, stunting, anemia, and high blood pressure are common in Armenia. A large portion of the population lives below the national poverty line, and consumes less than the necessary energy intake per day. Linear programming is used in this study of diet optimization to create a healthy diet model for children and adults of different ages at the minimum cost. The model is based on culturally appropriate food products. The study finds that, while average Armenians can afford a healthy diet, their current dietary choices do not meet the requirements of Dietary Reference Intakes (DRIs). Moreover, people earning minimum salary need to spend more than half of their monthly income on food to afford a healthy diet. Based on the study's findings, several policy recommendations are made. ARTICLE HISTORY

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“…In the absence of signifi cant jejunal resection or documented lactase defi ciency, lactose -containing foods should not be limited, as they are an important source of dietary calcium [23,24] .…”

Section: Medical Managementmentioning

confidence: 99%

Short Bowel Syndrome

Gastroenterology

and

2010

Practical Gastroenterology and Hepatology: Small and Large Intestine and Pancreas

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Short bowel syndrome (SBS) is defi ned as malabsorption due to insuffi cient intestinal surface area, with an inability to sustain an adequate nutritional, electrolyte, or hydration status in the absence of specialized nutritional support. In adults, it is typically the consequence of extensive bowel resection, with loss of absorptive surface area. Over time, the intestine can adapt in order to ensure more effi cient absorption. Overall, the most important aspects of the management of patients with SBS are to provide adequate nutrition, and to provide suffi cient fl uid and electrolytes to prevent dehydration. Anastomosis of the residual small bowel to the colon is the most important surgical procedure, enhancing the ability of the colon to become an energy -absorptive organ, and allowing for decreased dependence on total parenteral nutrition (TPN). The prognosis for patients with SBS depends on the patient ' s age, the type and extent of bowel resection, along with the underlying disease and health of residual intestine.function is better described in terms of energy absorption and loss, rather than the length of residual intestine, and some patients with SBS will not have suffi cient loss of functional capacity so as to develop intestinal failure [1] . The patients at highest risk generally have a duodenostomy or a jejunoileal anastamosis with less than 35 cm of residual intestine, a jejunocolic or ileocolic anastamosis with less than 60 cm of residual intestine, or an end jejunostomy with less than 115 cm of residual intestine [2] .The incidence of SBS is diffi cult to assess given the lack of a national registry and prospective studies. However, based on multinational European data, the incidence and prevalence of severe SBS, necessitating long -term total parenteral nutrition (TPN), is estimated to be between 2 and 4 cases per 1 million persons per year [1] . These numbers, however, do not refl ect patients who do not require TPN, and approximately 50 -70% can successfully be weaned off TPN [3] . PathophysiologyThe major consequence of extensive bowel resection is loss of absorptive surface area, which results in malabsorption of nutrients, electrolytes, and water [4] . The degree of malabsorption is determined by the length and 262 Case A 57 -year -old man with atrial fi brillation develops severe abdominal pain. He is diagnosed with an acute abdomen. He undergoes an emergent exploratory laparotomy, where an embolism is found in the superior mesenteric artery, and 200 cm of gangrenous small bowel is resected, and an ileostomy is created. Two days later, the patient undergoes a second -look surgery, and a jejunocolic anastamosis is created. TPN is initiated postoperatively, and, once bowel function returns, enteral nutrition is initiated with a goal of gradually decreasing the requirement for TPN. Defi nition and EpidemiologyIntestinal failure is defi ned as an inability to sustain an adequate nutritional, electrolyte, or hydration status, in the absence of specialized nutritional support, and is often seen ...

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Tolerance and absorption of lactose from milk and yogurt during short-bowel syndrome in humans

Cited by 59 publications

References 16 publications

Lactose Intolerance

Lactose Intolerance

Can locally available foods provide a healthy diet at affordable costs? Case of Armenia

Short Bowel Syndrome

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