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Journal of Parenteral and Enteral Nutrition
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Case Reports

Beneficial Effects of Fasting and Low Carbohydrate Diet in D-Lactic Acidosis Associated with Short-Bowel Syndrome

Thiruvengadam Ramakrishnan, M.D., F.A.C.P.

Department of Medicine, University Medical Center, Lafayette, Louisiana, Department of Medicine, Louisiana State University School of Medicine, New Orleans, Louisiana

Perry Stokes, M.D.

Department of Medicine, University Medical Center, Lafayette, Louisiana, Department of Medicine, Louisiana State University School of Medicine, New Orleans, Louisiana

A case of D-lactic acidosis in an 18-yr-old man with a short bowel is reported. The diagnosis, suspected on clinical grounds, was confirmed by serum and urine levels of D-lactate. Our studies revealed that an ad libitum diet was associated with elevated D-lactate levels and "nothing per oral" and 10% carbohydrate diet regimens caused a drop in D-lactate levels. We recommend npo and low carbohydrate diet as preferred alternatives to antibiotics in some patients with D-lactic acidosis. The literature is reviewed. (Journal of Parenteral and Enteral Nutrition 9:361-363, 1985)

Journal of Parenteral and Enteral Nutrition, Vol. 9, No. 3, 361-363 (1985)
DOI: 10.1177/0148607185009003361
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