scholarly journals Valid Assessment of Carbohydrate Intolerance and the Need for a Distinction to Carbohydrate Malabsorption. Comment on “Roles of Lactose and Fructose Malabsorption and Dietary Outcomes in Children Presenting with Chronic Abdominal Pain.” Nutrients 2019, 11, 3063

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1546
Author(s):  
Karin Hammer ◽  
Johann Hammer
Keyword(s):  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Carbohydrate Malabsorption ◽  
Fructose Malabsorption ◽  
Valid Assessment ◽  
Carbohydrate Intolerance

We have read with interest the recent paper by Posovszky and Roesler et al [...]

scholarly journals Roles of Lactose and Fructose Malabsorption and Dietary Outcomes in Children Presenting with Chronic Abdominal Pain

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 3063 ◽  
Author(s):  
Carsten Posovszky ◽  
Vreni Roesler ◽  
Sebastian Becker ◽  
Enno Iven ◽  
Christian Hudert ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Incidental Finding ◽  
Elimination Diet ◽  
Chronic Abdominal Pain ◽  
Functional Abdominal Pain ◽  
Lactose Malabsorption ◽  
Carbohydrate Malabsorption ◽  
Fructose Malabsorption ◽  
Hydrogen Breath Tests ◽  
Carbohydrate Intolerance

Intolerance to lactose or fructose is frequently diagnosed in children with chronic abdominal pain (CAP). However, the causal relationship remains a matter of discussion. A cohort of 253 patients, aged 7–12 years, presenting with unexplained CAP received standardized diagnostics. Additional diagnostic tests were performed based on their medical history and physical and laboratory investigations. Fructose and lactose hydrogen breath tests (H2BT) as well as empiric diagnostic elimination diets were performed in 135 patients reporting abdominal pain related to the consumption of lactose or fructose to evaluate carbohydrate intolerance as a potential cause of CAP. Carbohydrate malabsorption by H2BT was found in 55 (41%) out of 135 patients. An abnormal increase in H2BT was revealed in 30% (35/118) of patients after fructose consumption and in 18% (20/114) of patients after lactose administration. Forty-six percent (25/54) reported pain relief during a diagnostic elimination diet. In total, 17 patients had lactose malabsorption, 29 fructose malabsorption, and nine combined carbohydrate malabsorption. Carbohydrate intolerance as a cause of CAP was diagnosed at follow-up in only 18% (10/55) of patients with malabsorption after the elimination of the respective carbohydrate. Thus, carbohydrate malabsorption appears to be an incidental finding in children with functional abdominal pain disorders, rather than its cause. Therefore, testing of carbohydrate intolerance should only be considered in children with a strong clinical suspicion and with the goal to prevent long-term unnecessary dietary restrictions in children suffering from CAP.

Fructose malabsorption in asymptomatic children and in patients with functional chronic abdominal pain: a prospective comparative study

2019 ◽  
Vol 178 (9) ◽  
pp. 1395-1403 ◽  
Author(s):  
Oihana Martínez-Azcona ◽  
Ana Moreno-Álvarez ◽  
Teresa Seoane-Pillado ◽  
Inés Niño-Grueiro ◽  
Ana Ramiro-Comesaña ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Comparative Study ◽  
Chronic Abdominal Pain ◽  
Fructose Malabsorption ◽  
Asymptomatic Children ◽  
Prospective Comparative Study

scholarly journals Reply to Comments on the editor Re: Carsten Posovszky et al. “Roles of Lactose and Fructose Malabsorption and Dietary Outcomes in Children Presenting with Chronic Abdominal Pain.”, Nutrients 2019, 11(12), 3063

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1556
Author(s):  
Carsten Posovszky ◽  
Vreni Roesler ◽  
Sebastian Becker ◽  
Enno Iven ◽  
Christian Hudert ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Fructose Malabsorption

We would like to thank Drs [...]

Assessment of clinical outcomes among CT scan in the diagnosis of chronic abdominal pain

2019 ◽  
Vol 10 (3) ◽  
pp. 15-18
Author(s):  
Anant Madhukarrao Bhuibhar ◽  
◽  
Challa Anil Kumar ◽  
Lalwani Shyam Tekchand ◽  
◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Clinical Outcomes ◽  
Chronic Abdominal Pain
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