Effect of Perfusion of Oral Rehydration Solutions Containing Glucose Polymers from Corn on Disaccharidases and Mucosal Morphology in Rat Small Intestines

1994 ◽  
Vol 40 (3) ◽  
pp. 179-184
Author(s):  
B.-y. Zheng ◽  
Khin-Maung-U ◽  
R.-B. Lu ◽  
R. L. Maiese ◽  
E. Lebenthal
2021 ◽  
pp. 026010602199164
Author(s):  
Samuel N Cheuvront ◽  
Robert W Kenefick ◽  
Laura Luque ◽  
Katherine M Mitchell ◽  
Sadasivan Vidyasagar

Background: A historical turning point occurred in the treatment of diarrhea when it was discovered that glucose could enhance intestinal sodium and water absorption. Adding glucose to salt water (oral rehydration solution, ORS) more efficiently replaced intestinal water and salt losses. Aim: Provide a novel hypothesis to explain why mainstream use of ORS has been strongly recommended, but weakly adopted. Methods: Traditional (absorptive) and novel (secretory) physiological functions of glucose in an ORS were reviewed. Results: Small amounts of glucose can stimulate both intestinal absorption and secretion. Glucose can exacerbate a net secretory state and may aggravate pathogen-induced diarrhea, particularly for pathogens that affect glucose transport. Conclusion: A hypothesis is made to explain why glucose-based ORS does not appreciably reduce diarrheal stool volume and why modern food science initiatives should focus on ORS formulations that replace water and electrolytes while also reducing stool volume and duration of diarrhea.


1997 ◽  
Vol 75 (6) ◽  
pp. 417-420 ◽  
Author(s):  
P. ECKE ◽  
DR HODGSON ◽  
RJ ROSE

The Lancet ◽  
1982 ◽  
Vol 320 (8300) ◽  
pp. 724
Author(s):  
M Santosham ◽  
L Benson ◽  
S Foster ◽  
R Roncone

1994 ◽  
Vol 13 (4) ◽  
pp. 364-368 ◽  
Author(s):  
J T Go ◽  
C G Sia ◽  
R G Harper ◽  
R A Wapnir

1991 ◽  
Vol 81 (s25) ◽  
pp. 27P-27P
Author(s):  
JB Leiper ◽  
J Davidson ◽  
RJ Maughan

PEDIATRICS ◽  
1981 ◽  
Vol 67 (1) ◽  
pp. 79-83
Author(s):  
Robert E. Black ◽  
Michael H. Merson ◽  
Philip R. Taylor ◽  
Robert H. Yolken ◽  
Md. Yunus ◽  
...  

The use of oral rehydration solutions containing essential electrolytes and either glucose or sucrose of equal osmolality was compared in a double-blind sequential trial of 784 children with rotavirus-associated diarrhea treated at a center in rural Bangladesh. The oral fluid failure rate was 11.5% for the sucrose-containing solution group and 7.3% for the glucose-containing group (P = NS). Vomiting was a significantly more common cause of failure for the group treated with sucrose-containing oral rehydration solution and was associated with an increased rate of intake of the sweeter sucrose-containing solution. The purging rate was not different for the two groups. The oral fluid failure rates for children in the most underweight category (<60% of expected weight for age) were not different from those for other groups, although, as assessed by purging rate and initial dehydration, the stool losses of members of this group constituted a greater proportion of their body weight. Glucose is the preferred carbohydrate for oral electrolyte solutions, although sucrose can be substituted with only minimum loss of efficacy.


2020 ◽  
Vol 65 (No. 3) ◽  
pp. 104-110
Author(s):  
PD Katsoulos ◽  
MA Karatzia ◽  
A Dedousi ◽  
D Camo ◽  
C Boscos

The purpose of this study was to investigate whether milk consumption (MC) could be used as a simple farmer-friendly indicator for providing advanced treatment to limited fed diarrhoeic neonatal calves. Complementarily, it was evaluated whether the standard indications for veterinary care (severe dehydration and/or acidosis-septicaemia) are associated with different patterns in MC. The MC and health records of 103 calves with diarrhoeathat were fed a milk replacer at the volume of 10% of their body weight were used in the study. The MC reduction rate (MCRR) was calculated after each feeding (MC<sub>t</sub>) during the diarrhoea course, based on the MC prior to the diarrhoea onset for each calf (MC<sub>0</sub>) using the formula MCRR = 100 × (MC<sub>0</sub> − MC<sub>t</sub>)/MC<sub>0</sub>. The calves were assigned into the ST group (n = 58) if they only received the standard treatment (oral rehydration solutions between milk feedings) until recovery, and into the advanced treatment (VT) group (n = 45) if they needed advanced treatment (i.v. fluids ± antibiotics) directly or after the standard treatment. The calves in the VT group that only had dehydration, were further assigned into the DH subgroup (n = 22) and those with signs of acidosis-septicaemia with or without dehydration were assigned into the ASD subgroup (n = 23). The MC was practically stable in the ST group throughout the diarrhoea course. In the VT group, the MC was significantly reduced during the last 36 hours prior to the advanced treatment administration. This reduction was significantly higher in the ASD subgroup than the DH subgroup. The MCRR on the last meal prior to treatment administration was proven to be a very reliable indicator for the detection of diarrhoeic calves needing advanced treatment (cut-off: ≥ 24.5%; sensitivity: 95.6%; specificity: 98.7%) and of those with acidosis-septicaemia (cut-off: ≥ 29.6%; sensitivity: 91.7%; specificity: 99.1%). The results of the study show thatfarmers employing this feeding regimen should seek veterinary assistance when the milk consumption of calves is reduced by ≥ 24.5%.


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