Ottobre 2004 - Volume XXIII - numero 9
Pagine elettroniche
St. Mary’s Hospital, Lacor, Uganda
Key words: Malnutrition, Unicef formulation, Traditional food, Efficacy
An evaluation was made of a nutritional mix based on traditional food at the pediatric nutrition Unit at St. Mary's Hospital in Lacor, Uganda. 96 children with severe malnutrition were given a food mixture to complement the Unicef formula. The use of the lowcost mixture compared favourably with the use of the Unicef formula alone in terms of weight gain and short-term mortality.
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Pagine elettroniche
SC di Pediatria, PO di San Vito al Tagliamento, ASS n°6 “Friuli Occidentale”
Key words: Dumping sindrome, Hyperglycemia, Hypoglycemia, Nissen fundoplication
We report a case of dumping syndrome (DS) following Nissen fundoplication for gastroesophageal reflux in a syndromic child. DS refers to the symptom complex that results from the rapid gastric emptying, with consequent hyperglycemia followed by a reactive severe hypoglycemia. We review the literature about pathogenetic mechanisms, diagnosis and treatment of DS. As it occurred in our case, the diagnosis of DS is often delayed, especially in children with mental retardation.
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Pagine elettroniche
Clinica Pediatrica, Spedali civili di Brescia
Key words: Protein malnutrition, Rice drink
We report a six-months-old girl presenting with signs and symptoms of protein malnutrition: generalised edema with a rotund sugar baby appearance, abdominal distension and poor muscle tone. She presented also skin lesions, extreme irritability, thin and sparse hair. All laboratory findings supported the hypothesis of a case of kwashiorkor, caused by the replacement of milk by a rice drink. The patient responded dramatically to appropriate nutrition with resolution of the edema and a good weight gain. This case emphasises the emerging risk of kwashiorkor in developed countries, due to so-called “alternative” substitutes for milk or soy based formulas.
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