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Titolo:
Intolerance to an extensively hydrolysed formula mistaken for postoperative diarrhoea in a child with neuroblastoma
Autore:
Ward, E; Picton, S;
Indirizzi:
St Jamess Univ Hosp, Dept Dietet, Leeds LS9 7TF, W Yorkshire, England St Jamess Univ Hosp Leeds W Yorkshire England LS9 7TF Yorkshire, England St Jamess Univ Hosp, Yorshire Reg Ctr Paediat Oncol & Haematol, Leeds LS9 7TF, W Yorkshire, England St Jamess Univ Hosp Leeds W Yorkshire England LS9 7TF Yorkshire, England
Titolo Testata:
JOURNAL OF HUMAN NUTRITION AND DIETETICS
fascicolo: 2, volume: 14, anno: 2001,
pagine: 149 - 152
SICI:
0952-3871(200104)14:2<149:ITAEHF>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEURO-BLASTOMA; MILK ALLERGY; COW MILK; INFANTS; PROCTOCOLITIS; MALIGNANCIES; MALNUTRITION; RESECTION; NUTRITION; SURVIVAL;
Keywords:
allergic protocolitis; neuroblastoma; non-milk protein hydrolysate MCT; Pepdite 0-2; severe diarrhoea; surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Ward, E St Jamess Univ Hosp, Dept Dietet, Beckett St, Leeds LS9 7TF, W Yorkshire, England St Jamess Univ Hosp Beckett St Leeds W Yorkshire England LS9 7TF d
Citazione:
E. Ward e S. Picton, "Intolerance to an extensively hydrolysed formula mistaken for postoperative diarrhoea in a child with neuroblastoma", J HUM NU DI, 14(2), 2001, pp. 149-152

Abstract

Background Persistent diarrhoea has recently been reported as a common problem following surgical resection for advanced abdominal neuroblastoma. Case study A 10-month-old child, who had previously had no nutritional problems whilst undergoing chemotherapy treatment for a stage IV neuroblastoma, developed severe diarrhoea following tumour resection. He required nutritional support and was commenced on a continuous overnight nasogastric feed of a non-milk protein hydrolysate feed (MCT Pepdite 0-2, S.H.S. International Ltd, UK) His diarrhoea persisted and it was assumed that this was a postoperative problem which in time would regress. Two months later the child was admitted with, rectal prolapse, and a colonoscopy and biopsy suggested allergic protocolitis. The diarrhoea resolved rapidly on stopping the feed. Conclusion Although he was never re-challenged with the non-milk protein hydrolysate, it appears that he had a rare intolerance to an extensively hydrolysed protein formula which was masked by the assumption that his diarrhoea was a postoperative problem.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 09:10:39