Nutrition for children with cholestatic liver disease

Cholestatic liver disease (CLD) in children negatively affects nutritional status, growth and development, which all lead to an increased risk of morbidity and mortality. This is illustrated by the fact that the clinical outcome of children with CLD awaiting a liver transplantation is in part predicted by their nutritional status, which is integrated in the pediatric end-stage liver disease model. Preservation of the nutritional status becomes more relevant as the number of patients waiting for liver transplantation increases and the waiting time for a donor organ becomes prolonged. Nutritional strategies are available to optimize feeding of children with CLD. Patients with CLD, however, form a heterogeneous group and the clinical manifestations of their disease vary. This makes a tailor-made approach for these children crucial. Not all aspects of nutrient metabolism and absorption in children with CLD are well understood and studied. Experiments with stable isotope-labeled triglycerides and fatty acids have provided essential information about fat absorption under physiological and cholestatic conditions in animal models and humans. We expect that in the future, tests using other isotope-labeled macronutrients, i.e. carbohydrates and proteins, can be used to further assess nutritional status of children with CLD, thereby creating tailor-made nutritional therapies. Copyright (c) 2007 Nestec Ltd., Vevey/S. Karger AG, Basel.</p

Nutrition for children with cholestatic liver disease

Cholestatic liver disease (CLD) in children negatively affects nutritional status, growth and development, which all lead to an increased risk of morbidity and mortality. This is illustrated by the fact that the clinical outcome of children with CLD awaiting a liver transplantation is in part predicted by their nutritional status, which is integrated in the pediatric end-stage liver disease model. Preservation of the nutritional status becomes more relevant as the number of patients waiting for liver transplantation increases and the waiting time for a donor organ becomes prolonged. Nutritional strategies are available to optimize feeding of children with CLD. Patients with CLD, however, form a heterogeneous group and the clinical manifestations of their disease vary. This makes a tailor-made approach for these children crucial. Not all aspects of nutrient metabolism and absorption in children with CLD are well understood and studied. Experiments with stable isotope-labeled triglycerides and fatty acids have provided essential information about fat absorption under physiological and cholestatic conditions in animal models and humans. We expect that in the future, tests using other isotope-labeled macronutrients, i.e. carbohydrates and proteins, can be used to further assess nutritional status of children with CLD, thereby creating tailor-made nutritional therapies. Copyright (c) 2007 Nestec Ltd., Vevey/S. Karger AG, Basel

Laxative treatment with polyethylene glycol does not affect lipid absorption in rats

Item does not contain fulltextOBJECTIVES: Polyethylene glycol (PEG) is a frequently used laxative agent. It is unknown, however, whether PEG affects the absorptive capacity of the intestine. Reduced lipid (dietary fat and cholesterol) absorption induced by long-term PEG treatment could negatively affect growth in children. We tested whether PEG accelerates gastrointestinal transit and alters lipid absorption and plasma lipid levels. METHODS: Wistar rats were administered drinking water with or without PEG (7%) for 2 weeks. We studied whole gut transit time by recording the first appearance of red feces after intragastric carmine red administration. We measured plasma concentrations of cholesterol and triglycerides, dietary fat absorption by 48-hour fat balance and by plasma appearance of intragastrically administered stable-isotope labeled fats, and cholesterol absorption with a dual stable isotope technique. RESULTS: PEG decreased whole gut transit time by 20% (P=0.028) without causing diarrhea. PEG treatment did neither affects overall dietary fat balance nor fat uptake kinetics, cholesterol absorption, or plasma lipid concentrations. CONCLUSIONS: PEG does not affect lipid absorption nor steady-state plasma lipid levels in rats, although it accelerates the gastrointestinal transit

Diatom d13C, d15N, and C/N since the Last Glacial Maximum in the Southern Ocean: Potential Impact of Species Composition

International audienceMeasurements of delta C-13, delta N-15, and C/N on diatom-bound organic matter were made over the Holocene and Last Glacial Maximum (LGM) from three sediment cores in the Southern Ocean, one each from the Atlantic, Indian, and Pacific sectors. The site in the Scotia Sea (Atlantic sector) differed considerably from the other two sites by having markedly lower delta C-13, more variable delta N-15 and C/N ratios, and a sedimentary diatom assemblage that was never dominated by Fragilariopsis kerguelensis. Although environmental parameters certainly have a strong impact on the isotope ratios, delta C-13 is also correlated to the proportion of F. kerguelensis in the three cores investigated here (r(2) = 0.8). Extreme values of delta C-13, delta N-15, and C/N at the Last Glacial Maximum were also related to the abundance of winter stages of Eucampia antarctica. These results suggest that diatom specific isotope records should be interpreted in conjunction with information on the species composition of the samples