Starch Tolerance and the Short Bowel

Journal of Pediatric Gastroenterology and Nutrition
Jan de LaffolieKlaus-Peter Zimmer

Abstract

Short bowel syndrome with intestinal failure is a rare disease with a massive impairment in quality of life, requiring a multidisciplinary team approach to medical, surgical, and nutritional therapy. Current pharmacological and surgical therapeutic options are limited; an important cornerstone is enteral and parenteral nutrition. The changed physiology of carbohydrate digestion plays a major role in the adaptation process and can be a target for specific enteral nutrition interventions. An important prognostic factor is the preservation of at least portions of the colon in continuity with small bowel. This strategy has to include an evaluation of the anatomical situation and small bowel absorptive capacity, adaptation processes, and luminal microbiota including its fermentative properties. Starch is probably the most important complex carbohydrate in short bowel syndrome nutrition, because it is absorbed or fermented almost completely. Benefits of supplementation with complex carbohydrates include improved adaptive processes, positive trophic effects on the mucosa and its hormonal response, longer transit time, and possibly a faster time to wean from parenteral nutrition, but supplementation advice needs to weigh carefully the ...Continue Reading

References

Jun 1, 1985·The American Journal of Clinical Nutrition·R W ChapmanD R Saunders
Feb 12, 1994·Lancet·I NordgaardP B Mortensen
Dec 1, 1993·Pediatric Clinics of North America·B W Warner, M M Ziegler
Aug 1, 1996·The Australian and New Zealand Journal of Surgery·D R KingJ M King
Nov 1, 1995·JPEN. Journal of Parenteral and Enteral Nutrition·A L BuchmanS R Vijayaroghavan
Jan 1, 1996·Kidney International·M L Halperin, K S Kamel
Jul 1, 1997·Digestive Diseases·J S ScolapioC R Fleming
Dec 24, 1997·JPEN. Journal of Parenteral and Enteral Nutrition·J H Cummings, G T Macfarlane
Aug 6, 1999·Journal of Pediatric Gastroenterology and Nutrition·M ChristianL T Weaver
Nov 30, 1999·Journal of Pediatric Gastroenterology and Nutrition·L D'AntigaI Bjarnason
Sep 12, 2002·American Journal of Physiology. Gastrointestinal and Liver Physiology·Mark W MuschEugene B Chang
Jan 25, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Stephen J D O'KeefeJonathan Shaffer
Feb 14, 2006·Gastroenterology·Olivier Goulet, Frank Ruemmele
Oct 11, 2008·American Journal of Physiology. Gastrointestinal and Liver Physiology·Catherine P A IvoryDavid L Sigalet
Nov 14, 2008·Scandinavian Journal of Gastroenterology·Lasse BremholmJens Juul Holst
Apr 25, 2009·American Journal of Physiology. Gastrointestinal and Liver Physiology·Francisca JolyMuriel Thomas
Dec 2, 2009·Journal of Pediatric Gastroenterology and Nutrition·Qing Yang, Nancy D Kock
Jun 3, 2011·World Journal of Gastroenterology : WJG·Hai-Ping JiangDan Chen
Mar 14, 2013·Current Medical Research and Opinion·Steven HofstetterJacob Willet
Jan 11, 2014·Current Opinion in Gastroenterology·Palle B Jeppesen
Dec 1, 2015·JPEN. Journal of Parenteral and Enteral Nutrition·Zev H DavidovicsJeffrey S Hyams
Jul 14, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Hannah G PiperAndrew Y Koh

❮ Previous
Next ❯

Citations

May 16, 2018·Journal of Pediatric Gastroenterology and Nutrition·Buford Nichols, William J Klish
Aug 2, 2021·Seminars in Perinatology·Rohit Josyabhatla, Essam M Imseis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The American Journal of Gastroenterology
John K DiBaiseJon A Vanderhoof
Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]
Cindy R Brown, John K DiBaise
© 2022 Meta ULC. All rights reserved