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The treatment of intractable diarrhea by the method of “Baustein” principle using a casein hydrolisate

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Abstract

Ten infants with intractable diarrhea, celiac disease and small bowel resection were treated with a special dietetic regimen called “Baustein” principle. The three major food constituents were added to the formula stepwise: first glucose and maltodextrin followed by protein and vegetable oil or MCT oil. The protein source was a newly developed casein hydrolisate also containing minerals, trace elements and vitamins.

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References

  1. Ashworth, A., Bell, R., James, W. P. I., Waterlow, J.C.: Caloric requirements of children recovering from protein-caloric malnutrition. Lancet 1968 II, 600–603

    Google Scholar 

  2. Ashworth, A., Waterlow, J. C.: Caloric and protein intakes and growth. Lancet 1969 I, 776–777

    Google Scholar 

  3. Avery, G. B., Villavicencio, O., Lilly, J. R., Randolph, J. G.: Intractable diarrhea in early infancy. Pediatrics 41, 712–722 (1968)

    Google Scholar 

  4. Badenoch, J., Callender, Sh. T.: Effect of corticosteroids and glutenfree diet on absorption of iron in idopathic steatorrhea and celiac disease. Lancet 1960 I, 192–194

    Google Scholar 

  5. Barbezat, G. O., Hansen, J. D. L.: The exocrine pancreas and proteincaloric malnutrition. Pediatrics 42, 77–92 (1968)

    Google Scholar 

  6. Bowie, M. D., Brinkman, G. L., Hansen, J. D. L.: Acquired disaccharide intolerance in malnutrition. J. Pediat. 66, 1083–1091 (1965)

    Google Scholar 

  7. Chase, H. P., Dorsey, J., McKhann, G. M.: The effect of malnutrition on the synthesis of a myelin lipid. Pediatrics 40, 551–559 (1967)

    Google Scholar 

  8. Dahlquist, A.: Assay of Intestinal Disaccharidases. Enzymol. Biol. Clin. 11, 52–66 (1970)

    Google Scholar 

  9. Finkelstein, H.: Säuglingskrankheiten (4th ed.). Amsterdam: Elsevier 1938

    Google Scholar 

  10. Fontaine, J. L., Navarro, J.: Small intestinal biopsy in cow's milk protein allergy in infancy. Arch. Dis. Childh. 50, 357–362 (1975)

    Google Scholar 

  11. Goldman, A. S., Anderson, D. W., Sellers, W. A., Saperstin, S., Kniker, W. T., Halperson, S. R.: Milk allergy. Pediatrics 32, 425–443 (1963)

    Google Scholar 

  12. Gomez, G., Galvan, R. R., Cravioto, J., Frenk, S., Santaella, J. V., Pena, C.: Fat absorption in chronic severe malnutrition in children. Lancet 1956 I, 121–126

  13. Hyman, C. J., Reiter, J., Rodnan, J., Drash, A. L.: Parenteral and oral alimentation in the treatment of the nonspecific protracted diarrheal syndrome of infancy. J. Pediat. 78, 17–29 (1971)

    Google Scholar 

  14. James, W. P. T.: Intestinal absorption in protein caloric malnutrition. Lancet 1968 I, 333–335

    Google Scholar 

  15. Klein, P. S., Forbes, G. B., Nader, P. R.: Effects of starvation in infancy (pyloric stenosis) on subsequent learning abilities. J. Pediat. 87, 8–15 (1975)

    Google Scholar 

  16. Lentze, M., Schaub, J., Harms, K.: A simple and rapid thin-layer chromatografic method for the assay of intestinal disaccharidases. Clin. Chim. Acta 33, 301–307 (1971)

    Google Scholar 

  17. Kuitunen, P., Visakorpi, J. K., Savilahti, E., Pelkonen, P.: Malabsorption syndrome with cow's milk intolerance. Arch. Dis. Childh. 50, 351–356 (1975)

    Google Scholar 

  18. Leyland, R. C., Fosbrooke, A. S., Lloyd, J. K., Segall, M. M., Tamir, J., Tomkins, R., Wolff, O. H.: Use of medium chain triglyceride diets in children with malabsorption. Arch. Dis. Child. 44, 170–179 (1969)

    Google Scholar 

  19. Lloyd-Still, J. D., Grand, M. D., Khaw, K. T., Shwachman, H.: The use of corticosteroids in celiac crisis. J. Pediat. 81, 1074–1081 (1972)

    Google Scholar 

  20. Lloyd-Still, J. D., Shwachman, H., Filler, R. M.: Protracted diarrhea of infancy treated by intravenous alimentation. Am. J. Dis. Child. 125, 358–364 (1973)

    Google Scholar 

  21. Prinsloo, J. G., Wittman, W., Pretorious, P. J., Kruger, H., Fellingham, S. A.: Effect of different sugars on diarrhea of acute Kwashiorkor. Arch. Dis. Child. 44, 593–599 (1969)

    Google Scholar 

  22. Räihä, N. C. R., Heinonen, K., Rassin, D., Gaull, G. E.: Milk protein quantity and quality in low-birth weight infants: I. Metabolic responses and effects on growth. Pediatrics 57, 659–674 (1976)

    Google Scholar 

  23. Rutishauser, I. H. E., McCance, R. A.: Caloric requirements for growth after sever undernutrition. Arch. Dis. Child. 43, 252–256 (1968)

    Google Scholar 

  24. Schaub, J., Riegel, K.: Parenterale Ernährung. In: van Harnack, G.-A. (ed.). Therapie der Krankheiten des Kindesalters. Berlin: Springer 1976

    Google Scholar 

  25. Shmerling, D. H.: Peroral intestinal mucosal biopsies in infants and children. Helv. Paediat. Acta: Supplementum XXII (1970)

  26. Sherman, J. O., Hamly, C. A., Khachadurian, A. K.: Use of an oral elemental diet in infants with severe intractable diarrhea. J. Pediat. 86, 518–523 (1975)

    Google Scholar 

  27. Spackman, D. H., Stein, W. H., Moore, S.: Automatic recording apparatus for use in the chromatography of amino acids. Anal. Chem. 30, 1190–1206 (1958)

    Google Scholar 

  28. Sturman, J. A., Gaull, G., Räihä, N.: Absence of cystathionase in human fetal liver: is cystine essential? Science 169, 74 (1970)

    Google Scholar 

  29. Thompson, M. D., Trowell, H. C.: Pancreatic enzyme activity in duodenal contents of children with a type of Kwashiorkor. Lancet 1952 I, 1031–1035

  30. Valman, H. B.: Intelligence after malnutrition caused by neonatal resection of ileum. Lancet 1974 I, 425–427

    Google Scholar 

  31. Wilmore, D. W., Dudrick, S. J.: Growth and development of an infant receiving all nutrients exclusively by vein. J. Am. Med.Ass. 203, 860–864 (1968)

    Google Scholar 

  32. Winick, M.: Malnutrition and brain development. J. Pediat. 74, 667–679 (1969)

    Google Scholar 

  33. Winick, M., Rosso, P.: Head circumference and cellular growth of the brain in normal and marasmic children. J. Pediat. 74, 774–778 (1969)

    Google Scholar 

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Stepwise feeding of the three nutrients

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Schaub, J., Endres, W., Harms, K. et al. The treatment of intractable diarrhea by the method of “Baustein” principle using a casein hydrolisate. Eur J Pediatr 124, 89–100 (1977). https://doi.org/10.1007/BF00477544

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  • DOI: https://doi.org/10.1007/BF00477544

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