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Dietary management of D-lactic acidosis in short bowel syndrome.
  1. A J Mayne,
  2. D J Handy,
  3. M A Preece,
  4. R H George,
  5. I W Booth
  1. Institute of Child Health, University of Birmingham.


    Manipulation of carbohydrate intake was used to treat severe, recurrent D-lactic acidosis in a patient with short bowel syndrome. Dietary carbohydrate composition was determined after assessment of D-lactic acid production from various carbohydrate substrates by faecal flora in vitro. This approach may be preferable to repeated courses of antibiotics.

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