Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1984-5-2
|
pubmed:abstractText |
Two patients with recurring attacks of encephalopathy after jejunoileostomy for morbid obesity had elevated D-lactate concentrations in blood and urine. The syndrome and the biochemical abnormalities were reproduced by ingestion of a high carbohydrate diet. In the second case, fasting and intravenous supplementation with amino acids and glucose resulted in the disappearance of D-lactate from the urine and blood and amelioration of the symptoms. Stool cultures from the second patient were shown to be capable of producing D-lactate, and concentrations of D-lactate in saline and peptone yeast broth filtrates of the stool paralleled the changes in urinary excretion of the D-lactate during fasting and overfeeding. Thus, we have demonstrated a temporal relationship between the neurologic symptoms and the elevated concentrations of D-lactate in blood, urine, and stool. Whether D-lactate accounts for part or all of the encephalopathic changes remains to be determined.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0025-6196
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
59
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
141-5
|
pubmed:dateRevised |
2007-10-29
|
pubmed:meshHeading |
pubmed-meshheading:6708591-Acidosis,
pubmed-meshheading:6708591-Adult,
pubmed-meshheading:6708591-Brain Diseases, Metabolic,
pubmed-meshheading:6708591-Fasting,
pubmed-meshheading:6708591-Female,
pubmed-meshheading:6708591-Food,
pubmed-meshheading:6708591-Humans,
pubmed-meshheading:6708591-Ileum,
pubmed-meshheading:6708591-Jejunum,
pubmed-meshheading:6708591-Lactates,
pubmed-meshheading:6708591-Male,
pubmed-meshheading:6708591-Middle Aged,
pubmed-meshheading:6708591-Obesity,
pubmed-meshheading:6708591-Postoperative Complications
|
pubmed:year |
1984
|
pubmed:articleTitle |
D-Lactic acidosis and encephalopathy after jejunoileostomy: response to overfeeding and to fasting in humans.
|
pubmed:publicationType |
Journal Article,
Case Reports
|