Skip Navigation

Journal of Tropical Pediatrics 1984 30(4):204-209; doi:10.1093/tropej/30.4.204
© 1984 by Oxford University Press
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Fagundes-Neto, U.
Right arrow Articles by Machado, N. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fagundes-Neto, U.
Right arrow Articles by Machado, N. L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

research-article

Tropical Enteropathy (Environmental Enteropathy) in Early Childhood: a Syndrome Caused by Contaminated Environment

Ulysses Fagundes-Neto, MD, Tania Viaro, MD, Jamal Wehba, MD, Francy Reis da Silva Patricio, MD and Nelson Lourenço Machado, MD

Department of Pediatrics, Escola Paulista de Medicina São Paulo, Brazil

To whom corresponde should be addressed

Tropical Enteropathy has been described in children and adults that live in developing countries. This disease may or may not be symptomatic. We studied 112 patients with Tropical Enteropathy for their nutritional status and intestinal function. The following tests were performed: D-xylose absorption, triglyceride load, carbohydrate load (lactose, sucrose, glucose), bile salts assay of jejunal juice and small bowel biopsy; follow-up of the nutritional status revealed that 107 (95.5 per cent) had presented with malnutrition. Xylose absorption revealed levels of 25.00±12.3 mg per cent and 23.70±ll.l at 1 and 2 hours, with controls of, 46.0±13.9 and 40.7±12.3 mg per cent (p<0.001). The mean plasma triglyceride increase after a margarine load was 32.80±19.30 mg per cent, with the control group 96.54±49.59 mg per cent (p< 0.001). Carbohydrate load tests revealed 48.8 per cent lactose malabsorption, 30.04 per cent sucrose malabsorption and 5 per cent glucose malabsorption. Bile salts determination showed 44.8 per cent conjugated/55.2 per cent unconjugated. Small bowel biopsy showed partial villous atrophy in 94 per cent of samples studied. These children constitute a homogenous group representative of the majority of the population of the Third World and call the attention for the necessity of planning a more efficient health care system and adequate sanitary conditions.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Am. J. Clin. Nutr.Home page
L. Galpin, M. J Manary, K. Fleming, C.-N. Ou, P. Ashorn, and R. J Shulman
Effect of Lactobacillus GG on intestinal integrity in Malawian children at risk of tropical enteropathy
Am. J. Clinical Nutrition, November 1, 2005; 82(5): 1040 - 1045.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.